Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 1399 | HI |
NPI | 1215337977 |
---|---|
Provider Name | Gregory Caffiero |
First Address | Kihei, HI 96753-8179 |
Second Address | Kihei, HI 96753-8179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2014 |
Last Update Date | 23/04/2019 |