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

Stephanie Untalan, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1255928628

Stephanie Untalan, COTA/L is an Occupational Therapy Assistant in LA Verne, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2061 Wright Ave Ste A7
LA Verne, CA 91750-5813
Phone: (909) 519-8912
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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 5337 (CA)

Record details

NPI number1255928628
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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