Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT-2013 | HI |
NPI | 1003486861 |
---|---|
Provider Name | Nicole Ann Cecchi |
First Address | Kaneohe, HI 96744-2101 |
Second Address | Honolulu, HI 96826-1229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2021 |
Last Update Date | 24/06/2021 |