Individual provider · Type 1 NPI

Jessica Gardenia Vajarakitipongse, OTR

Occupational Therapist · Corona, CA

NPI number 1982039970 Active

Practice location

2815 S Main St Ste 205
Corona, CA 92882-2533

Call (951) 475-1307 Map

Fax (951) 475-1308

Mailing address

747 Lassen Dr
Corona, CA 92879-5980

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X11386 (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 1982039970

Jessica Gardenia Vajarakitipongse, OTR's National Provider Identifier is 1982039970, issued on Sep 9, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Corona, CA. The record was last updated on Apr 24, 2019.