DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELYSE CLAIRE STAFFORD, PTA

Active

MRS. ELYSE CLAIRE STAFFORD, PTA is a Occupational Therapy Assistant healthcare provider located in NEWBURY PARK, California. NPI 1396865366 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NEWBURY PARK, CA

Registration Details

NPI Number
1396865366
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2007 (19.416421385507 yrs)
Last Updated
Sep 11, 2025
Licenses
AT 936 (CA)
AT 936 (CA)

Practice Information

Address
575 EVERGREEN AVE
NEWBURY PARK, CA, 913205127
Browse CA providers · Browse ZIP 91320
Phone
8056602623
Fax
8054999106
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in NEWBURY PARK, CA

Name Credential NPI
KELLI LEE LUNDIN 1588097604
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.