Individual provider · Type 1 NPI

Jessica Phung, OTR/L

Occupational Therapist · Colton, CA

NPI number 1023657053 Active

Practice location

400 N Pepper Ave
Colton, CA 92324-1819

Call (909) 580-1000 Map

Mailing address

4860 Almondwood Way
San Diego, CA 92130-2784

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT17799 (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 1023657053

Jessica Phung, OTR/L's National Provider Identifier is 1023657053, issued on Dec 20, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Colton, CA. The record was last updated on Dec 20, 2019.