Provider Demographics
NPI:1639300783
Name:WOJCIECHOWSKI, SUZANN MICHELLE (OTR)
Entity Type:Individual
Prefix:
First Name:SUZANN
Middle Name:MICHELLE
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1325 S KIHEI RD
Mailing Address - Street 2:STE 102
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8145
Mailing Address - Country:US
Mailing Address - Phone:808-385-4048
Mailing Address - Fax:
Practice Address - Street 1:1325 S KIHEI RD
Practice Address - Street 2:STE 102
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8145
Practice Address - Country:US
Practice Address - Phone:808-269-1720
Practice Address - Fax:866-431-9522
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI210225XE0001X, 225XF0002X, 225XG0600X, 225XN1300X, 225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation