IndividualActive
Darryl Tanaka, OTR/L
NPI 1205070323 · Environmental Modification Occupational Therapist · Los Alamitos, CA
Provider details
- NPI number
- 1205070323
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT 6588 (CA)
Mailing address
12051 Chaucer Rd
Los Alamitos, CA 90720-4531
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.