Janelle Anderson

Individual provider Active NPI Occupational Therapy Assistant · Kailua, HI

NPI 1043898802 · NPPES record last updated Mar 31, 2021

Key facts

NPI
1043898802
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA76 (HI)
Practice address
1193 Mokapu Rd
Kailua, HI 96734-5010
Phone
(808) 263-1416
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA76HIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA76 HI Yes

Addresses

Primary practice location

1193 Mokapu Rd
Kailua, HI 96734-5010

Mailing address

165 Kaiholu St
Kailua, HI 96734-1967
Phone (808) 263-1417

Other providers in Kailua, HI

All providers in Kailua, HI · Occupational Therapy Assistant in Hawaii

Sources for this page

Verify at the official NPI Registry.