Individual provider · Type 1 NPI

Julian Ponferrada

Occupational Therapy Assistant · Redondo Beach, CA

NPI number 1639630155 Active

Practice location

2602 Nelson Ave
Redondo Beach, CA 90278-2613

Call (310) 658-3171 Map

Mailing address

120 36th St
Manhattan Beach, CA 90266-3202

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5564 (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 1639630155

Julian Ponferrada's National Provider Identifier is 1639630155, issued on Mar 27, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Redondo Beach, CA. The record was last updated on Mar 27, 2019.