Individual
MRS. SHARON E PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
102 E LOCUST ST, OCCOQUAN, VA 22125-7720
(512) 656-1880
Mailing address
102 E LOCUST ST, OCCOQUAN, VA 22125-7720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113547
TX
Other
Enumeration date
03/04/2010
Last updated
04/25/2022
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