Individual provider · Type 1 NPI

Sophea Pen

Occupational Therapy Assistant · Sacramento, CA

NPI number 1801763511 Active

Practice location

7801 Rush River Dr
Sacramento, CA 95831-4602

Call (916) 393-9020 Map

Mailing address

11113 Graeton Cir
Mather, CA 95655-3048

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2014 (CA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1801763511

Sophea Pen's National Provider Identifier is 1801763511, issued on Oct 20, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 20, 2025.