NPI 1104774710

Mary Udria, COTAL

Practitioner Occupational Therapy Assistant San Dimas, CA

Practice location

Address: 740 E Allen Ave, San Dimas, CA 91773-1545
Phone: (909) 971-8202
Mailing address: 115 W Allen Ave, San Dimas, CA 91773-1437

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA121 (CA)

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1104774710
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2026
Record last updated: 19 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.