Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 070015123 | IL |
N | 225100000X | Physical Therapist | 3611 | HI |
Y | 2251C2600X | Cardiopulmonary | 3611 | HI |
NPI | 1952558785 |
---|---|
Provider Name | Miss Andrea Scelsi |
First Address | Kailua, HI 96734-8872 |
Second Address | Honolulu, HI 96813-2402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2008 |
Last Update Date | 09/09/2013 |