Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tami Renee Etheridge, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1780980409

Tami Renee Etheridge, OTR/L is a Pediatric Occupational Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

8717 Venice Blvd
Los Angeles, CA 90034-3216
Phone: (310) 337-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 11583 (CA)

Record details

NPI number1780980409
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 27, 2011
Last updated in NPPESJanuary 27, 2011

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