Provider Demographics
NPI:1922183037
Name:FOLEY, DOLLY W (OTR L, CLT)
Entity Type:Individual
Prefix:MRS
First Name:DOLLY
Middle Name:W
Last Name:FOLEY
Suffix:
Gender:F
Credentials:OTR L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4348 WAIALAE AVE
Mailing Address - Street 2:916
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-483-0622
Mailing Address - Fax:
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:STE 360
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-732-7744
Practice Address - Fax:808-732-7766
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT935225X00000X
WA2278225X00000X
HIOT-262225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist