Provider Demographics
NPI:1235855305
Name:CHIKUAMI, SCOTT NORIO (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:NORIO
Last Name:CHIKUAMI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10371 TOPEKA DR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3334
Mailing Address - Country:US
Mailing Address - Phone:626-818-6576
Mailing Address - Fax:
Practice Address - Street 1:150 VIA MERIDA
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3816
Practice Address - Country:US
Practice Address - Phone:626-818-6576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist