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NPI Code Detail

MEDICARE: KRISTIN POPADAK OTR/L

MEDICARE: KRISTIN POPADAK OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist21172CA

General Provider Information

NPI Number : 1740147958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN POPADAK OTR/L
Provider Business Mailing Address
First Line : 7165 BURTON AVE
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-3316
Country : US
Telephone Number : 707-792-4700
Fax Number :
Provider Business Practice Location Address
First Line : 7165 BURTON AVE
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-3316
Country : US
Telephone Number : 707-792-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ KRISTIN POPADAK OTR/L” Practice Location

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