IndividualActive
Mary Udria, COTA/L
NPI 1104774710 · Occupational Therapy Assistant · San Dimas, CA
Provider details
- NPI number
- 1104774710
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA121 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
740 E Allen Ave
San Dimas, CA 91773-1545
Phone: (909) 971-8202
Street-level locationGet directions
Mailing address
115 W Allen Ave
San Dimas, CA 91773-1437
Additional practice locations (2)
- 1629 Holly Oak StLa Verne, CA 91750-3914Phone: (909) 971-8206
- 2715 E StLa Verne, CA 91750-4510Phone: (909) 971-8207
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.