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

Individual provider Occupational Therapist · NPI 1477485001

Madison Vander Broek, OTR/L is an Occupational Therapist in San Dimas, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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

1301 W Arrow Hwy Ste 130
San Dimas, CA 91773-2330
Phone: (909) 228-9806
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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 29134 (CA)

Record details

NPI number1477485001
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMay 29, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

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