Individual provider · Type 1 NPI

Felicia Soedargo, OT

Occupational Therapist · San Bernardino, CA

NPI number 1508474941 Active

Practice location

275 W Hospitality Ln Ste 103
San Bernardino, CA 92408-3238

Fax (909) 763-3216

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT20294 (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 1508474941

Felicia Soedargo, OT's National Provider Identifier is 1508474941, issued on Jul 22, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 22, 2020.