Provider Demographics
NPI:1932684164
Name:FELT, SENA LYNN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SENA
Middle Name:LYNN
Last Name:FELT
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 1:10125 S DE ANZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2105
Mailing Address - Country:US
Mailing Address - Phone:408-865-1365
Mailing Address - Fax:
Practice Address - Street 1:10125 S DE ANZA BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2105
Practice Address - Country:US
Practice Address - Phone:408-865-1365
Practice Address - Fax:408-549-9991
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT9975225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics