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

Individual provider Occupational Therapy Assistant · NPI 1639875800

Jessica Nikoletich is an Occupational Therapy Assistant in Buena Park, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

8699 Holder St
Buena Park, CA 90620-3699
Phone: (714) 821-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6211 (CA)

Record details

NPI number1639875800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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