Ricardo Antonio Pena Mata, OTR/L
NPI #1760139257 in Commerce, California
Provider Information
- NPI Number
- 1760139257
- Entity Type
- Individual
- Name
- Ricardo Antonio Pena Mata, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Mar 4, 2022
- Last Updated
- Mar 4, 2022
Practice Location
- Address
- 7108 KUHL DR
- City
- Commerce
- State
- California
- ZIP Code
- 90040-3825
- Phone
- (323) 997-0137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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