Provider Demographics
NPI:1891124848
Name:OTOSHI, ROSEMARIE TAMAYO (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ROSEMARIE
Middle Name:TAMAYO
Last Name:OTOSHI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S BERETANIA ST STE 703
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1874
Mailing Address - Country:US
Mailing Address - Phone:808-691-4211
Mailing Address - Fax:
Practice Address - Street 1:1401 S BERETANIA ST STE 700
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1874
Practice Address - Country:US
Practice Address - Phone:808-691-4211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist