Individual
LESLIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 S 16TH 1/2 ST, MCALLEN, TX 78501-5263
(956) 328-5424
Mailing address
608 OPUNTIA LN, EDINBURG, TX 78541-1024
(956) 534-3130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216513
TBOTE
TX
01
—
443728
NBCOT
TX
Enumeration date
12/08/2020
Last updated
12/08/2020
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