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

Individual provider Occupational Therapy Assistant · NPI 1306059035

Stephanie Blackmore, COTA is an Occupational Therapy Assistant in Colton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1001 E Cooley Dr Ste 101
Colton, CA 92324-3941
Phone: (909) 783-1111
Fax: (909) 783-3957
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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 COTA1152 (CA)

Record details

NPI number1306059035
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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