Individual
MRS. SUSAN KAY PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1005 E 23RD ST, SUITE 200, FREMONT, NE 68025-0800
(866) 784-2329
(877) 550-6600
Mailing address
2650 PACIFIC BLVD, GERING, NE 69341-1847
(308) 765-2244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1454
NE
225X00000X
Occupational Therapist
698
CO
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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