Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 651 | HI |
N | 2251E1200X | Ergonomics | 651 | HI |
N | 225XE1200X | Ergonomics | 651 | HI |
N | 2251H1300X | Human Factors | 651 | HI |
N | 225XH1300X | Human Factors | 651 | HI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 651 | HI |
N | 225XP0200X | Occupational Therapist - Pediatrics | 651 | HI |
N | 225XR0403X | Driving and Community Mobility | 651 | HI |
NPI | 1508087370 |
---|---|
Provider Name | Miss Andrea Lai Sin Fong |
First Address | Honolulu, HI 96818-2330 |
Second Address | Waipahu, HI 96767 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |