Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT-13 | HI |
NPI | 1255483566 |
---|---|
Provider Name | Mrs. Carol A.t. Yee |
First Address | Honolulu, HI 96814-1881 |
Second Address | Honolulu, HI 96814-1881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 27/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
490194 | (05) | HI |
579694 | (02) | HI |
OT013 | STATE LICENSE (01) | HI |