Provider Demographics
NPI:1659584191
Name:HO, ANNETTE TSUKAHARA
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:TSUKAHARA
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:TSUKAHARA
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:5579 POOLA ST.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821
Mailing Address - Country:US
Mailing Address - Phone:808-983-6740
Mailing Address - Fax:808-983-6752
Practice Address - Street 1:1319 PUNAHOU ST.
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826
Practice Address - Country:US
Practice Address - Phone:808-983-6740
Practice Address - Fax:808-983-6752
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI192225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics