Healthcare Provider Details

I. General information

NPI: 1114234366
Provider Name (Legal Business Name): JEAN ANN WRONSKI MA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PASTEUR STE 100
IRVINE CA
92618-3813
US

IV. Provider business mailing address

3124 E LARKSTONE DR
ORANGE CA
92869-5544
US

V. Phone/Fax

Practice location:
  • Phone: 949-788-9236
  • Fax: 949-861-6595
Mailing address:
  • Phone: 714-288-2889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: