Michelle Alfonso, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Placentia, CA
NPI 1013682772 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1013682772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5663 (CA)
- Practice address
- 1180 N Bradford Ave
Placentia, CA 92870-3301 - Phone
- (714) 996-9292
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5663 | CA | Yes |
Addresses
Primary practice location
1180 N Bradford Ave
Placentia, CA 92870-3301
Mailing address
3023 Leeward Ave Apt 7
Los Angeles, CA 90005-4407
Phone (213) 216-0683
Other practice location 1
14837 Peyton Dr
Chino Hills, CA 91709-2075
Phone (909) 757-1340
Other providers in Placentia, CA
- Celicia Alaniz
- Isabelle Alarid
- Perveen Aleemuddin
- Alexander Vahdati Dental Corp
- Yudiana Alfaro
- Alfred W. Sloan, MD, Apc
- Hibah Ali
- Naureen Ali
- Randy Navarro Alicna
- Danielle Allen
All providers in Placentia, CA · Occupational Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.