Provider Demographics
NPI:1578040218
Name:DAHLGREN, AMELIA ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:ELIZABETH
Last Name:DAHLGREN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:AMELIA
Other - Middle Name:ELIZABETH
Other - Last Name:ORSINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1845 DORRIT ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3406
Mailing Address - Country:US
Mailing Address - Phone:818-439-8814
Mailing Address - Fax:
Practice Address - Street 1:2103 E GONZALES RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3757
Practice Address - Country:US
Practice Address - Phone:805-988-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT13677225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist