Individual provider · Type 1 NPI

Andrew Phetaroun Somphonphakdy

Occupational Therapy Assistant · La Mirada, CA

NPI number 1225793987 Active

Practice location

13229 Edwards Rd
La Mirada, CA 90638-1823

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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…

About NPI 1225793987

Andrew Phetaroun Somphonphakdy's National Provider Identifier is 1225793987, issued on Nov 7, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Mirada, CA. The record was last updated on Nov 7, 2021.