Healthcare Provider Details

I. General information

NPI: 1528494440
Provider Name (Legal Business Name): MARC HINOKI OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2013
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 ALLERTON ST
REDWOOD CITY CA
94063-1360
US

IV. Provider business mailing address

815 ALLERTON ST
REDWOOD CITY CA
94063-1360
US

V. Phone/Fax

Practice location:
  • Phone: 650-385-8381
  • Fax: 650-948-1821
Mailing address:
  • Phone: 650-385-8381
  • Fax: 650-948-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: