Individual
KARL WOLFGANG PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 WURZBACH RD, SAN ANTONIO, TX 78229-3321
(210) 617-2209
Mailing address
8300 WURZBACH RD, SAN ANTONIO, TX 78229-3321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212743
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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