Provider Demographics
NPI:1598279069
Name:SAKATA, RENEE A (COTA)
Entity Type:Individual
Prefix:MISS
First Name:RENEE
Middle Name:A
Last Name:SAKATA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3744 CRATER RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2308
Mailing Address - Country:US
Mailing Address - Phone:808-265-1100
Mailing Address - Fax:
Practice Address - Street 1:95-390 KUAHELANI AVE STE 1C
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1182
Practice Address - Country:US
Practice Address - Phone:808-292-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOTA-115224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant