Individual
MS. PATRICIA DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8491 NW 17TH ST, DORAL, FL 33126-1025
(305) 456-5542
Mailing address
7117 SW 164TH CT, MIAMI, FL 33193-5544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16280
FL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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