Individual provider · Type 1 NPI

Winny Soenaryo, OT

Occupational Therapist · Los Angeles, CA

NPI number 1104483023 Active

Practice location

1640 Marengo St Ste 500
Los Angeles, CA 90033-1061

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT18762 (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 1104483023

Winny Soenaryo, OT's National Provider Identifier is 1104483023, issued on May 27, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 17, 2022.