Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN BOEDIARTO, COTA/L
Active Sole ProprietorJORDAN BOEDIARTO, COTA/L is a Occupational Therapy Assistant healthcare provider located in ANAHEIM, California. NPI 1508473737 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ANAHEIM, CA
Registration Details
- NPI Number
- 1508473737
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2020 (5.8272600910667 yrs)
- Last Updated
- Oct 1, 2020
- License
-
2553 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
141 S KNOTT AVEANAHEIM, CA, 928041458Browse CA providers · Browse ZIP 92804
- Phone
- 7148217310
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in ANAHEIM, CA
| Name | Credential | NPI |
|---|---|---|
| MISS LORI ANN MILLERICK | COTA | 1174641609 |
| PEGGY JEU | — | 1760666978 |
| KENNETH DAVID MORRISON JR. | COTA | 1114165974 |
| MRS. KATRINA ANGELA NUNEZ I | C.O.T.A. | 1013224088 |
| NUNO MENESES | — | 1063800233 |
| CHRISSY ALEXANDER I | — | 1750779740 |
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.