Individual provider · Type 1 NPI

Jason Kakuzo Ichimaru, OTR/L

Occupational Therapist · Fremont, CA

NPI number 1922514124 Active

Practice location

39650 Liberty St
Fremont, CA 94538-2223

Call (510) 498-3900 Map

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1922514124

Jason Kakuzo Ichimaru, OTR/L's National Provider Identifier is 1922514124, issued on Dec 26, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fremont, CA. The record was last updated on Jan 20, 2022.