Individual provider · Type 1 NPI

Casey Mamora, OTR/L

Occupational Therapist · La Verne, CA

NPI number 1194345157 Active

Practice location

2061 Wright Ave Ste A7
La Verne, CA 91750-5813

Call (909) 519-8912 Map

Mailing address

1878 S Coloma St
Loma Linda, CA 92354-1756

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X20062 (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 1194345157

Casey Mamora, OTR/L's National Provider Identifier is 1194345157, issued on Apr 20, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in La Verne, CA. The record was last updated on Apr 20, 2020.