Individual provider · Type 1 NPI

Kelly C. Gendos

Occupational Therapy Assistant · Norco, CA

NPI number 1417816364 Active

Practice location

2641 Hamner Ave Unit 106110
Norco, CA 92860-3636

Call (626) 536-4834 Map

Mailing address

414 E San Bernardino Rd
Covina, CA 91723-1704

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7380 (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 1417816364

Kelly C. Gendos's National Provider Identifier is 1417816364, issued on Jan 16, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Norco, CA. The record was last updated on Jan 16, 2026.