Provider Demographics
NPI:1033794946
Name:FELIX, KRISTINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 UNIVERSITY AVE APT 703
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5008
Mailing Address - Country:US
Mailing Address - Phone:808-344-0457
Mailing Address - Fax:
Practice Address - Street 1:2810 PAA ST STE 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4429
Practice Address - Country:US
Practice Address - Phone:808-836-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-2074-0225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist