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

Individual provider Specialist · NPI 1073936498

Lashonda Petry, OTR/L is a Specialist in Fremont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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

39180 Farwell Dr Ste 211
Fremont, CA 94538-1015
Phone: (510) 857-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT13278 (CA)

Record details

NPI number1073936498
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 22, 2014

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