Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roseanne Sofia Evangelista Blanco, OTR/L

Individual provider Occupational Therapist · NPI 1043042526

Roseanne Sofia Evangelista Blanco, OTR/L is an Occupational Therapist in Santa Monica, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
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

1932 14th St
Santa Monica, CA 90404-4605
Phone: (310) 344-2276
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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 26770 (CA)

Record details

NPI number1043042526
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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