Individual
TRINA PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(909) 260-2868
Mailing address
2917 OBERLIN AVE, ORLANDO, FL 32804-4550
(909) 260-2868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19165
FL
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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