Individual
MARY UDRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
740 E ALLEN AVE, SAN DIMAS, CA 91773-1545
(909) 971-8202
Mailing address
115 W ALLEN AVE, SAN DIMAS, CA 91773-1437
(909) 971-8200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA121
CA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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