Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT-1649 | HI |
N | 2251E1200X | Ergonomics | OT-1649 | HI |
N | 225XE1200X | Ergonomics | OT-1649 | HI |
N | 225XH1200X | Occupational Therapist - Hand | OT-1649 | HI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT-1649 | HI |
NPI | 1073142824 |
---|---|
Provider Name | Muriel Ena Crisostomo Malixi |
First Address | Kapaa, HI 96746-9534 |
Second Address | Kapaa, HI 96746-9534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2020 |
Last Update Date | 03/04/2020 |