Provider Demographics
NPI:1184083305
Name:NEWMAN, DELILA (ORL/L, LMT)
Entity type:Individual
Prefix:
First Name:DELILA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:ORL/L, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 ANAPUNI ST
Mailing Address - Street 2:APARTMENT 307
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3277
Mailing Address - Country:US
Mailing Address - Phone:808-463-4584
Mailing Address - Fax:
Practice Address - Street 1:932 WARD AVE FL 6
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2131
Practice Address - Country:US
Practice Address - Phone:808-535-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10969225700000X
HI352012225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist