Provider Demographics
NPI:1376608067
Name:SMATRESK, DEBORAH HODDICK (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HODDICK
Last Name:SMATRESK
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 MANOA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1901
Mailing Address - Country:US
Mailing Address - Phone:808-779-3766
Mailing Address - Fax:808-441-1900
Practice Address - Street 1:700 RICHARDS ST
Practice Address - Street 2:SUITE 903
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4605
Practice Address - Country:US
Practice Address - Phone:808-263-8180
Practice Address - Fax:808-441-1900
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI571225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand