Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 001 | HI |
N | 2251E1200X | Ergonomics | 001 | HI |
N | 225XE1200X | Ergonomics | 001 | HI |
N | 225XG0600X | Occupational Therapist - Gerontology | 001 | HI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 001 | HI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 001 | HI |
N | 225XR0403X | Driving and Community Mobility | 001 | HI |
NPI | 1356701759 |
---|---|
Provider Name | Sandra Wataoka |
First Address | Honolulu, HI 96813-3009 |
Second Address | Honolulu, HI 96813-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2016 |
Last Update Date | 26/02/2016 |