Individual
YESENIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 KNUTH RD, SUITE 236, BOYNTON BEACH, FL 33436-4629
(561) 330-8451
Mailing address
200 KNUTH RD, SUITE 236, BOYNTON BEACH, FL 33436-4629
(561) 330-8451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13490
FL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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