Individual provider · Type 1 NPI

Lisa Rosario Kolmanovskiy, OTR/L

Occupational Therapist · Menlo Park, CA

NPI number 1790454411 Active

Practice location

825 Oak Grove Ave Ste A102
Menlo Park, CA 94025-4427

Call (650) 323-0805 Map

Mailing address

188 Hackamore Cmn
Fremont, CA 94539-7477

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X22506 (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 1790454411

Lisa Rosario Kolmanovskiy, OTR/L's National Provider Identifier is 1790454411, issued on Sep 7, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Menlo Park, CA. The record was last updated on Jul 31, 2023.