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

Jacquelyn Marie Derian Boebel, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1003307364

Jacquelyn Marie Derian Boebel, OTR/L is a Pediatric Occupational Therapist in Santa Monica, 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

2331 20th St Apt 3
Santa Monica, CA 90405-2737
Phone: (858) 722-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT12947 (CA)

Record details

NPI number1003307364
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESFebruary 13, 2021
Certification dateFebruary 13, 2021

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