Provider Demographics
NPI:1598142051
Name:OGINO, GAIL
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:OGINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-550 FLAMINGO ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1133
Mailing Address - Country:US
Mailing Address - Phone:808-259-7520
Mailing Address - Fax:
Practice Address - Street 1:41-550 FLAMINGO ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1133
Practice Address - Country:US
Practice Address - Phone:808-259-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant