Individual
ADA SUEMI OSHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-0800
(626) 795-0854
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 396-1285
(626) 795-7374
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT5823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT5823
CA LICENSE
CA
Enumeration date
05/16/2011
Last updated
05/16/2011
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