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Contact Information

RUSSELL NAKAJIMA, OTR/L
550 SAINT CHARLES DR STE 100
THOUSAND OAKS, CA91360-3969
 Phone: 805-449-1125
 Fax: 805-449-4113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RUSSELL NAKAJIMA · (Male)

NPI Number 1063298164
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 09/05/2023
Last updated 04/18/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 26282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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