Provider Demographics
NPI:1902153448
Name:OGAWA, ROBYN YONEDA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:YONEDA
Last Name:OGAWA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:SUZUMI
Other - Last Name:YONEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8541 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-4375
Mailing Address - Country:US
Mailing Address - Phone:626-280-4695
Mailing Address - Fax:
Practice Address - Street 1:8541 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-4375
Practice Address - Country:US
Practice Address - Phone:626-280-4695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 1585224ZR0403X, 225X00000X
CAOT1585225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community Mobility
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist