Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | HI 488 | HI |
NPI | 1184750754 |
---|---|
Provider Name | Wendy Marie Medeiros Howard |
First Address | Honolulu, HI 96813-4605 |
Second Address | Honolulu, HI 96813-4605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HI 488 | STATE REGISTRATION (01) | HI |
P66474 | (02) | HI |