Provider Demographics
NPI:1770070856
Name:POTEMPA, FIONA (OTR/L)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:POTEMPA
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983 LA MESA TER UNIT A
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-2442
Mailing Address - Country:US
Mailing Address - Phone:708-912-1991
Mailing Address - Fax:
Practice Address - Street 1:983 LA MESA TER UNIT A
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-2442
Practice Address - Country:US
Practice Address - Phone:708-912-1991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.012400225X00000X
CA20194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist