Healthcare Provider Details

I. General information

NPI: 1326619636
Provider Name (Legal Business Name): BRIANNA KATSUDA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 SANTIAGO ST
SAN FRANCISCO CA
94116-1526
US

IV. Provider business mailing address

17408 DE ORO CT
CERRITOS CA
90703-9018
US

V. Phone/Fax

Practice location:
  • Phone: 916-676-0488
  • Fax:
Mailing address:
  • Phone: 562-964-5773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: