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

MS. Miranda Waddle, OTR/L

Individual provider Occupational Therapist · NPI 1578244059

MS. Miranda Waddle, OTR/L is an Occupational Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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

470 E 3rd St
Los Angeles, CA 90013-1629
Phone: (213) 620-5712
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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 25256 (CA)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1578244059
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJuly 27, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 19, 2023

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