Individual provider · Type 1 NPI

Nicolas Russell Mabardy, OTR

Occupational Therapist · Los Angeles, CA

NPI number 1912453374 Active

Practice location

1801 Malcolm Ave
Los Angeles, CA 90025-4729

Mailing address

1801 Malcolm Ave Apt 2
Los Angeles, CA 90025-4729

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT16507 (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 1912453374

Nicolas Russell Mabardy, OTR's National Provider Identifier is 1912453374, issued on Aug 26, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2016.