Provider Demographics
NPI:1871690164
Name:ANCHETA-GARBER, ALYSA LEIGH (OTR)
Entity Type:Individual
Prefix:MS
First Name:ALYSA
Middle Name:LEIGH
Last Name:ANCHETA-GARBER
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 1:347 PATTERSON ROAD (CFA)
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96719-1522
Mailing Address - Country:US
Mailing Address - Phone:808-433-0246
Mailing Address - Fax:808-433-0281
Practice Address - Street 1:347 PATTERSON ROAD (CFA)
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96719-1522
Practice Address - Country:US
Practice Address - Phone:808-433-0246
Practice Address - Fax:808-433-0281
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1014182225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist