| Doctor Name: | MARIJANE MIYAKE |
| NPI Number: | 1457478760 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 1311 |
| Business Practice Address: | 5242 Elkmont Dr Rancho Palos Verdes, CA - 902752370 |
| Business Phone Number: | 3103757205 |
| Business Fax Number: | |
| Mailing Address: | 5242 Elkmont Dr, RANCHO PALOS VERDES |
| State: | CA |
| Postal Code: | 902752370 |
| Phone Number: | 3103757205 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 1311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |