Individual
ANDRIK PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6215 W 20TH AVE APT 214, HIALEAH, FL 33012-6063
(305) 821-8972
Mailing address
6215 W 20TH AVE APT 214, HIALEAH, FL 33012-6063
(305) 821-8972
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12320
FL
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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