Provider Demographics
NPI:1851340715
Name:KINOSHITA, YASUKO OGATA (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:YASUKO
Middle Name:OGATA
Last Name:KINOSHITA
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10666 N TORREY PINES RD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1027
Mailing Address - Country:US
Mailing Address - Phone:858-554-8851
Mailing Address - Fax:858-554-4569
Practice Address - Street 1:10666 N TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-8851
Practice Address - Fax:858-554-4569
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN487892Medicare ID - Type Unspecified
CAWOT787AMedicare ID - Type Unspecified