Individual provider · Type 1 NPI

Stephanie Untalan, COTA/L

Occupational Therapy Assistant · La Verne, CA

NPI number 1255928628 Active

Practice location

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

Call (909) 519-8912 Map

Mailing address

1125 S Bender Ave
Glendora, CA 91740-5008

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5337 (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 1255928628

Stephanie Untalan, COTA/L's National Provider Identifier is 1255928628, issued on Dec 30, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in La Verne, CA. The record was last updated on Dec 30, 2020.