Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 275 | HI |
NPI | 1043513146 |
---|---|
Provider Name | Ingrid Rowland |
First Address | Puunene, HI 96784 |
Second Address | Kahului, HI 96732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2010 |
Last Update Date | 10/12/2010 |