Individual
KATERINA CORRAL PENA-KENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(385) 608-2855
Mailing address
1001 N 500 W, PROVO, UT 84604-3305
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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