Jaylene Sta Ana, OTA
Occupational Therapy Assistant in Garden Grove, CA. Individual provider (NPI-1).
NPI number1083179618
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1083179618
- Entity type
- Individual (NPI-1)
- Name
- Jaylene Sta Ana
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2019
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | ota4584 | CA | Yes |
Practice location
9764 Garden Grove BlvdGarden Grove, CA 92844-1615
Phone 714-534-0007
Mailing address
9764 Garden Grove BlvdGarden Grove, CA 92844-1615
Phone 714-534-0007
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All 28 Occupational Therapy Assistant providers in Garden Grove · All 5,773 providers in Garden Grove
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