Provider Demographics
NPI:1457541302
Name:SUZUKI, CLAIRE MICHIE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MICHIE
Last Name:SUZUKI
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 1:81-980 HALEKII ST
Mailing Address - Street 2:#103
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-8177
Mailing Address - Country:US
Mailing Address - Phone:808-322-4883
Mailing Address - Fax:808-322-4886
Practice Address - Street 1:81-980 HALEKII ST
Practice Address - Street 2:#103
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-8177
Practice Address - Country:US
Practice Address - Phone:808-322-4883
Practice Address - Fax:808-322-4886
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-229225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist