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

Jaclyn Ingram, MSOT

Individual provider Pediatric Occupational Therapist · NPI 1801724018

Jaclyn Ingram, MSOT is a Pediatric Occupational Therapist in Fullerton, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

233 Orangefair Mall
Fullerton, CA 92832-3038
Phone: (710) 870-6116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 23850 (CA)

Record details

NPI number1801724018
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 10, 2026
Mailing address233 Orangefair Mall, Fullerton, CA 92832-3038

Other providers in Fullerton