Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Kodama

Individual provider Occupational Therapy Assistant · NPI 1154284065

Mia Kodama is an Occupational Therapy Assistant in Pleasanton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

4733 Chabot Dr Ste 203
Pleasanton, CA 94588-3972
Phone: (408) 559-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA919 (CA)

Record details

NPI number1154284065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 7, 2025
Mailing address2101 Alexander Way, Pleasanton, CA 94588-8307

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