Provider Demographics
NPI:1548602196
Name:GALZOTE, PHILINDA ARQUERO-CASTRO (COTA)
Entity Type:Individual
Prefix:
First Name:PHILINDA
Middle Name:ARQUERO-CASTRO
Last Name:GALZOTE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 LOLA PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4529
Mailing Address - Country:US
Mailing Address - Phone:580-917-9410
Mailing Address - Fax:
Practice Address - Street 1:1236 LOLA PLACE
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:580-917-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI310819OtherNBCOT
OK1338OtherLICENSED OCCUPATIONAL THERAPIST ASSISTANT