Provider Demographics
NPI:1659836013
Name:YOSHIOKA, LYNN KAZUKO (OTR/L)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:KAZUKO
Last Name:YOSHIOKA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:KAZUKO
Other - Last Name:SHIMABUKURO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CHT
Mailing Address - Street 1:1401 S BERETANIA ST STE 730
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1881
Mailing Address - Country:US
Mailing Address - Phone:808-593-2830
Mailing Address - Fax:808-593-2840
Practice Address - Street 1:1401 S BERETANIA ST STE 730
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1881
Practice Address - Country:US
Practice Address - Phone:808-593-2830
Practice Address - Fax:808-593-2840
Is Sole Proprietor?:No
Enumeration Date:2019-02-09
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT1680225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand