Individual provider · Type 1 NPI

Shannon Mendoza

Recreation Therapist · Upland, CA

NPI number 1609737782 Active

Practice location

1317 W Foothill Blvd Ste 1330
Upland, CA 91786-3676

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X69194 (CA)

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1609737782

Shannon Mendoza's National Provider Identifier is 1609737782, issued on Nov 19, 2025. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Upland, CA. The record was last updated on Nov 19, 2025.