Individual provider · Type 1 NPI

Lacey L. Tygenhof, OTR/L

Occupational Therapist · Fullerton, CA

NPI number 1841636610 Active

Practice location

1400 N Harbor Blvd Ste 300
Fullerton, CA 92835-4145

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X13830 (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 1841636610

Lacey L. Tygenhof, OTR/L's National Provider Identifier is 1841636610, issued on May 20, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fullerton, CA. The record was last updated on Sep 5, 2025.