Provider Demographics
NPI:1942324454
Name:KONISHI, ANN M (OT)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:KONISHI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:M
Other - Last Name:OKIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:826 SOUTH KING STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3009
Mailing Address - Country:US
Mailing Address - Phone:808-523-9043
Mailing Address - Fax:808-526-0673
Practice Address - Street 1:826 SOUTH KING STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3009
Practice Address - Country:US
Practice Address - Phone:808-523-9043
Practice Address - Fax:808-526-0673
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT218225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist