Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacey Van Dyk

Individual provider Occupational Therapy Assistant · NPI 1043761216

Jacey Van Dyk is an Occupational Therapy Assistant in Bishop, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

151 Pioneer Ln
Bishop, CA 93514-2557
Phone: (760) 872-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA2766 (CA)

Record details

NPI number1043761216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2016
Last updated in NPPESOctober 21, 2016