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1205318003
KARL WOLFGANG PENA
SAN ANTONIO, TX
NPI
1205318003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212743)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
KARL WOLFGANG PENA
8300 WURZBACH RD
SAN ANTONIO, TX 78229-3321
Phone number: 210-617-2209
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Mailing Address
KARL WOLFGANG PENA
8300 WURZBACH RD
SAN ANTONIO, TX 78229-3321
Phone number:
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