Individual
ERIKA PENECALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 E CALTON RD # 3, LAREDO, TX 78041-3689
(956) 722-3377
(956) 722-3892
Mailing address
16 W FREMONT ST, LAREDO, TX 78040-7648
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212142
TX
Other
Enumeration date
11/06/2013
Last updated
05/03/2021
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