Individual
JOSEPH PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2216 JONES PL SE, RENTON, WA 98055-4507
(425) 829-8319
Mailing address
2216 JONES PL SE, RENTON, WA 98055-4507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60347731
WA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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