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

Individual provider Occupational Therapy Assistant · NPI 1174233084

Jacklyn Rachelle Boren, COTA/L is an Occupational Therapy Assistant in San Tan Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
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

43507 N Ironwood Dr
San Tan Valley, AZ 85140
Phone: (480) 757-2253
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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 · Licence OTA-047153 (AZ)

Record details

NPI number1174233084
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESDecember 1, 2022
Certification dateNovember 26, 2022

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