Annie L Bustamante, OTR/L
Occupational Therapist, Mental Health in Ontario, CA. Individual provider (NPI-1).
NPI number1932744331
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1932744331
- Entity type
- Individual (NPI-1)
- Name
- Annie L Bustamante
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2019
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XM0800X | Occupational Therapist, Mental Health | 28539 | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1420 S. Milliken AvenueSuite 508
Ontario, CA 91761
Phone 909-988-2418
Mailing address
9027 Ferndale AveFontana, CA 92335-6017
Phone 909-343-7779
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