Individual
PEDRO L TENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1001 TOWSON AVE FL 6, FORT SMITH, AR 72901-4921
(479) 441-3980
Mailing address
1221 URBANA RD, EL DORADO, AR 71730-8703
(870) 315-9427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1693
AR
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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