Healthcare Provider Details

I. General information

NPI: 1750804639
Provider Name (Legal Business Name): SANDRA HATTORI OKADA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2017
Last Update Date: 07/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 E. IMPERIAL HIGHWAY
DOWNEY CA
90242
US

IV. Provider business mailing address

7601 E. IMPERIAL HWY
DOWNEY CA
90242
US

V. Phone/Fax

Practice location:
  • Phone: 562-385-7081
  • Fax: 562-385-6167
Mailing address:
  • Phone: 562-385-7081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License Number93
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: