Healthcare Provider Details

I. General information

NPI: 1609771633
Provider Name (Legal Business Name): NATALIE JANELL ROBLES MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8711 NEARDALE ST
PARAMOUNT CA
90723-3618
US

IV. Provider business mailing address

8711 NEARDALE ST
PARAMOUNT CA
90723-3618
US

V. Phone/Fax

Practice location:
  • Phone: 562-445-1906
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number29574
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: