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

Individual provider Occupational Therapist · NPI 1659677722

Jennell Mundorf, OTR/L is an Occupational Therapist in Hawthorne, California. Practices as a sole proprietor and works from 3 locations. Licensed in California and Massachusetts.

Licensed in
CA, MA
In the registry since
2011
Specialties on file
2
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

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459
Phone: (307) 259-6103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 220 Bear Hill Rd Ste 102, Waltham, MA 02451-1004 — (781) 790-8479
  • 1055 Pine St Apt 326, Nashville, TN 37203 — (307) 259-6103

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 11593 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 12533 (MA)

Record details

NPI number1659677722
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 7, 2011
Last updated in NPPESMay 8, 2018

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