Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaylene Mary Bolla, COTA/L

Individual provider Pediatric Occupational Therapist · NPI 1487302642

Kaylene Mary Bolla, COTA/L is a Pediatric Occupational Therapist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3416 American River Dr
Sacramento, CA 95864-5753
Phone: (916) 979-0497
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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 446886 (CA)

Record details

NPI number1487302642
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

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