Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRYL TAD TANAKA, OTR/L
Active Sole ProprietorMR. DARRYL TAD TANAKA, OTR/L is a Environmental Modification Occupational Therapist healthcare provider located in LOS ALAMITOS, California. NPI 1205070323 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification Occupational Therapist · LOS ALAMITOS, CA
Registration Details
- NPI Number
- 1205070323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2009 (17.335521072524 yrs)
- Last Updated
- Apr 21, 2009
- License
-
OT 6588 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12051 CHAUCER RDLOS ALAMITOS, CA, 907204531Browse CA providers · Browse ZIP 90720
- Phone
- 5625963668
- Primary Specialty
-
Environmental Modification Occupational Therapist
225XE0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.