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

Nicole M Banuelos, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1720779804

Nicole M Banuelos, OTR/L is a Pediatric Occupational Therapist in Westlake Village, California. Registered with an NPI since 2023.

In the registry since
2023
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

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726
Phone: (805) 413-3009
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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

Record details

NPI number1720779804
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

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