Jessica Arellano, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Lake Forest, CA

NPI 1487487153 · NPPES record last updated Aug 20, 2024

Key facts

NPI
1487487153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
6433 (CA)
Practice address
22672 Lambert St
Lake Forest, CA 92630-1613
Phone
(949) 329-8161
NPI assigned
Aug 20, 2024
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)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6433 CA Yes

Addresses

Primary practice location

22672 Lambert St
Lake Forest, CA 92630-1613

Mailing address

542 Traverse Dr
Costa Mesa, CA 92626-3117

Other providers in Lake Forest, CA

All providers in Lake Forest, CA · Occupational Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.