Provider Demographics
NPI:1477763910
Name:CHANG, VALERIE J (OTR)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:J
Last Name:CHANG
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 1:1350 S KING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2005
Mailing Address - Country:US
Mailing Address - Phone:808-594-0058
Mailing Address - Fax:808-594-0015
Practice Address - Street 1:1350 SOUTH KING STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2008
Practice Address - Country:US
Practice Address - Phone:808-594-0058
Practice Address - Fax:808-594-0015
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT - 129225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist