Individual
MRS. KATHERINE J PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUP THERAPIST
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0439
(309) 347-3529
Mailing address
5727 N MONTEREY CT, PEORIA, IL 61614-3854
(309) 686-3859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006998
IL
Other
Enumeration date
03/15/2007
Last updated
03/02/2010
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