Provider Demographics
NPI:1972707156
Name:SHIOKARI, PATRICIA LEE (COTA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:SHIOKARI
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 1:7732 E SANTIAGO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1829
Mailing Address - Country:US
Mailing Address - Phone:714-771-5276
Mailing Address - Fax:714-771-1452
Practice Address - Street 1:7732 E SANTIAGO CANYON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-1829
Practice Address - Country:US
Practice Address - Phone:714-771-5276
Practice Address - Fax:714-771-1452
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA83224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant