Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT-5256-0 | HI |
NPI | 1922761881 |
---|---|
Provider Name | Victoria Feige |
First Address | Honolulu, HI 96826-5035 |
Second Address | Kapolei, HI 96707-2028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2021 |
Last Update Date | 18/10/2021 |