Individual provider · Type 1 NPI

Lisa Mamoulelis, MOTR/L

Occupational Therapist · Wheatland, CA

NPI number 1831021559 Active

Practice location

111 Main St
Wheatland, CA 95692-9277

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X8012 (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 1831021559

Lisa Mamoulelis, MOTR/L's National Provider Identifier is 1831021559, issued on May 29, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wheatland, CA. The record was last updated on May 29, 2026.