Provider Demographics
NPI:1467607184
Name:TSUTSUMI, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TSUTSUMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37010
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96837-0010
Mailing Address - Country:US
Mailing Address - Phone:888-298-1649
Mailing Address - Fax:888-298-1649
Practice Address - Street 1:3288 MOANALUA RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1469
Practice Address - Country:US
Practice Address - Phone:888-298-1649
Practice Address - Fax:888-298-1649
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-419225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist