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

Felicia Soedargo, OT

Individual provider Occupational Therapist · NPI 1508474941

Felicia Soedargo, OT is an Occupational Therapist in San Bernardino, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

275 W Hospitality Ln Ste 103
San Bernardino, CA 92408-3238
Phone: (909) 567-2221
Fax: (909) 763-3216
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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 OT20294 (CA)

Record details

NPI number1508474941
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

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