Organization
OT FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER JACKSON-PENA OTD, MOT, OTR/L (PRESIDENT)
(240) 535-4036
Entity
Organization
Contact information
Practice address
932 HUNGERFORD DR, SUITE 9B, ROCKVILLE, MD 20850-1713
(240) 535-4036
Mailing address
932 HUNGERFORD DR, SUITE 9B, ROCKVILLE, MD 20850-1713
(240) 535-4036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2009
Last updated
04/01/2013
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