Provider Demographics
NPI:1417286675
Name:DAIMARU, JANET A (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:A
Last Name:DAIMARU
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15735 NORDHOFF ST
Mailing Address - Street 2:UNIT 31
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3129
Mailing Address - Country:US
Mailing Address - Phone:626-222-9294
Mailing Address - Fax:
Practice Address - Street 1:15735 NORDHOFF ST
Practice Address - Street 2:UNIT 31
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-3129
Practice Address - Country:US
Practice Address - Phone:626-222-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 5143225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist