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

Individual provider Occupational Therapy Assistant · NPI 1043593965

Stacie T Chan, COTA is an Occupational Therapy Assistant in Garden Grove, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

12881 Knott St Ste 103
Garden Grove, CA 92841-3939
Phone: (714) 892-6828
Fax: (714) 898-9720
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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 2215 (CA)

Record details

NPI number1043593965
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESSeptember 27, 2011

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