Provider Demographics
NPI:1508359530
Name:OCHOA, BETSY (OTR/L)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13835 MCNAB AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2740
Mailing Address - Country:US
Mailing Address - Phone:562-922-9754
Mailing Address - Fax:
Practice Address - Street 1:7601 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3456
Practice Address - Country:US
Practice Address - Phone:562-385-6277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-05-04
Deactivation Date:2018-07-24
Deactivation Code:
Reactivation Date:2018-08-01
Provider Licenses
StateLicense IDTaxonomies
CA18347225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18347OtherCALIFORNIA BOARD OF OCCUPATIONAL THERAPY