Provider Demographics
NPI:1447423520
Name:PINHO, SUSAN MARI (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MARI
Last Name:PINHO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-200 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 407
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-721-5459
Mailing Address - Fax:
Practice Address - Street 1:98-200 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 407
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-487-5766
Practice Address - Fax:808-487-5768
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT46225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist