Provider Demographics
NPI:1457365116
Name:YONENAGA, LINDA M (OTR)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:YONENAGA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:TAO-YONENAGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:795 WILLOW RD
Mailing Address - Street 2:VAPAHCS/MPD - BLDG. 324 - C107
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-2539
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:
Practice Address - Street 1:795 WILLOW RD
Practice Address - Street 2:MENLO PARK DIVISION/324-C107
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2539
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-617-2602
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist