Individual provider · Type 1 NPI
Mary Udria, COTA/L
Occupational Therapy Assistant · San Dimas, CA
Practice location
740 E Allen Ave
San Dimas, CA 91773-1545
Mailing address
115 W Allen Ave
San Dimas, CA 91773-1437
Other practice locations
- 1629 Holly Oak St, La Verne, CA 91750-3914 · (909) 971-8206
- 2715 E St, La Verne, CA 91750-4510 · (909) 971-8207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA121 (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 1104774710
Mary Udria, COTA/L's National Provider Identifier is 1104774710, issued on Mar 19, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Dimas, CA. The record was last updated on Mar 19, 2026.