Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edana Kistampally, OTR/L

Individual provider Occupational Therapist · NPI 1912307182

Edana Kistampally, OTR/L is an Occupational Therapist in Rochester, Michigan. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

790 Letica Dr
Rochester, MI 48307-1581
Phone: (408) 854-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 326444 (CA)

Record details

NPI number1912307182
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 25, 2014
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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