Provider Demographics
NPI:1609627819
Name:SUAREZ, JUDY ANN (OCCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 HALA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2157
Mailing Address - Country:US
Mailing Address - Phone:808-475-1225
Mailing Address - Fax:
Practice Address - Street 1:1111 HALA DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2157
Practice Address - Country:US
Practice Address - Phone:808-475-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-248225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation