Individual provider · Type 1 NPI

Krystal Ryan Lopez

Occupational Therapy Assistant · San Bernardino, CA

NPI number 1154297364 Active

Practice location

418 E Vanderbilt Way
San Bernardino, CA 92408-3552

Call (909) 373-1641 Map

Mailing address

7254 Fairfax Dr
San Bernardino, CA 92404-6321

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA7266 (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 1154297364

Krystal Ryan Lopez's National Provider Identifier is 1154297364, issued on Oct 14, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 14, 2025.