Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jaime Agustin SIU

Individual provider Occupational Therapy Assistant · NPI 1730640681

Mr. Jaime Agustin SIU is an Occupational Therapy Assistant in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

448 Myrtle St Apt 4
Glendale, CA 91203-2196
Phone: (818) 913-2962
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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 OTA2859 (CA)

Record details

NPI number1730640681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 25, 2019

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