Cleolynne Penera Carreon, COTA/L
Occupational Therapy Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1689340309
StatusActive
Last updated in NPPESAug 22, 2021
Details
- NPI
- 1689340309
- Entity type
- Individual (NPI-1)
- Name
- Cleolynne Penera Carreon
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2021
- Certification date
- Aug 22, 2021
- Last updated
- Aug 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | A02938 | MD | Yes |
Practice location
9200 Franklin Square DrBaltimore, MD 21237-4458
Phone 410-931-8122
Mailing address
5204 Braeburn WayPerry Hall, MD 21128-8830
Phone 443-983-1495
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