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

Odessa Ashley Max

Individual provider Pediatric Occupational Therapist · NPI 1699368134

Odessa Ashley Max is a Pediatric Occupational Therapist in Ontario, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

2943 E Sunstone St
Ontario, CA 91762-7373
Phone: (858) 337-0137
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Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 22877 (CA)

Record details

NPI number1699368134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2021
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address2943 E Sunstone St, Ontario, CA 91762-7373

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