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

Individual provider Occupational Therapist · NPI 1982039970

Jessica Gardenia Vajarakitipongse, OTR is an Occupational Therapist in Corona, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2815 S Main St Ste 205
Corona, CA 92882-2533
Phone: (951) 475-1307
Fax: (951) 475-1308
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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 11386 (CA)

Record details

NPI number1982039970
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedSeptember 9, 2013
Last updated in NPPESApril 24, 2019

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