Individual provider · Type 1 NPI

Tracey Ravanzo

Occupational Therapist · San Bernardino, CA

NPI number 1013868645 Active

Practice location

670 Carnegie Dr
San Bernardino, CA 92408-3519

Call (909) 252-4175 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7962 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013868645

Tracey Ravanzo's National Provider Identifier is 1013868645, issued on Feb 9, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 2, 2026.