Individual provider · Type 1 NPI

Ma Lourdes Peralta, OTA

Occupational Therapy Assistant · Jacksonville, FL

NPI number 1114833860 Active

Practice location

9601 Southbrook Dr
Jacksonville, FL 32256-0601

Call (904) 641-7501 Map

Mailing address

12083 Nogoya St
Jacksonville, FL 32256-6872

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA16007 (FL)

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 1114833860

Ma Lourdes Peralta, OTA's National Provider Identifier is 1114833860, issued on Aug 21, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 21, 2026.