Healthcare Provider Details

I. General information

NPI: 1174442297
Provider Name (Legal Business Name): ALLIED OCCUPATIONAL THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12523 ANTONIO PL
CORRAL DE TIERRA CA
93908-8955
US

IV. Provider business mailing address

12523 ANTONIO PL
CORRAL DE TIERRA CA
93908-8955
US

V. Phone/Fax

Practice location:
  • Phone: 831-915-5027
  • Fax:
Mailing address:
  • Phone: 831-915-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ALLISON ESTES BAKER
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 831-915-5027