Provider Demographics
NPI:1255652236
Name:OT TO YOU LLC
Entity Type:Organization
Organization Name:OT TO YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR
Authorized Official - Prefix:MS
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HABERSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-347-1969
Mailing Address - Street 1:PO BOX 4559
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96812-4559
Mailing Address - Country:US
Mailing Address - Phone:808-347-1969
Mailing Address - Fax:808-440-0395
Practice Address - Street 1:2957 KALAKAUA AVE
Practice Address - Street 2:APT 201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-4650
Practice Address - Country:US
Practice Address - Phone:808-347-1969
Practice Address - Fax:808-440-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-764225X00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty