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Individual

ASHLEY FAITH PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, OTD

Contact information

Practice address
4010 MEDICAL PARK DR, ODESSA, TX 79765-2233
(026) 843-2614
Mailing address
2908 DUSTIN DR, ODESSA, TX 79762-5447
(432) 202-9385

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123706
TX

Other

Enumeration date
07/12/2023
Last updated
09/29/2025
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