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

Individual provider Occupational Therapist · NPI 1588143267

Jaclyn Carbone, OTR/L is an Occupational Therapist in Petaluma, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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

101 Monroe St
Petaluma, CA 94954-2328
Phone: (707) 763-4109
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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 OT12787 (CA)

Record details

NPI number1588143267
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018

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