Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dedra Y Lewis, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1477877629

Dedra Y Lewis, COTA/L is an Occupational Therapy Assistant in Victorville, California. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

12650 Shorewood Ln
Victorville, CA 92392-0518
Phone: (760) 947-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1477877629
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 17, 2010
Last updated in NPPESMarch 17, 2010

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