Provider Demographics
NPI:1821763863
Name:KAMEI, PARWON (OTR/L)
Entity type:Individual
Prefix:
First Name:PARWON
Middle Name:
Last Name:KAMEI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 LESLIE WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2116
Mailing Address - Country:US
Mailing Address - Phone:240-551-7496
Mailing Address - Fax:
Practice Address - Street 1:2383 N MAIN ST UNIT 214
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3550
Practice Address - Country:US
Practice Address - Phone:240-551-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
CAOT25013225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist