Kaylene Bolla, COTA/L

NPI 1487302642 · on the registry since 2022 · sole proprietor

Practice

Address: 3416 American River Dr
Sacramento, CA 95864
Phone: (916) 979-0497
Organisation at this address: Developmental Occupational Therapy
Developmental Occupational Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California