Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT-2058 | HI |
NPI | 1013371947 |
---|---|
Provider Name | Ms. Rachel Elaine Tinsley |
First Address | Aiea, HI 96701-2628 |
Second Address | Aiea, HI 96701-2628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 09/10/2021 |