Individual
ANGELA M PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1333 N 1ST ST, SPRINGFIELD, OR 97477
(541) 736-2732
Mailing address
38927 W SCIO RD, SCIO, OR 97374-9587
(504) 480-5879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
348216
OR
Other
Enumeration date
10/21/2015
Last updated
07/12/2018
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