Provider Demographics
NPI:1427123256
Name:MATSUNAGA, DONNA C (PT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:C
Last Name:MATSUNAGA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:KAISER PERMANENTE MEDICAL CENTER
Mailing Address - Street 2:280 W. MACARTHUR BLVD.
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5378
Mailing Address - Country:US
Mailing Address - Phone:510-752-6179
Mailing Address - Fax:510-752-7578
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:KAISER PERMANENTE MEDICAL CENTER
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5378
Practice Address - Country:US
Practice Address - Phone:510-752-6179
Practice Address - Fax:510-752-7578
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist