Provider Demographics
NPI:1780973461
Name:PASCUA, JANICE M (OT)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:PASCUA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:M
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:LAWAI
Mailing Address - State:HI
Mailing Address - Zip Code:96765-0791
Mailing Address - Country:US
Mailing Address - Phone:808-634-4234
Mailing Address - Fax:808-332-5988
Practice Address - Street 1:3576 LAHELA PL
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741-9600
Practice Address - Country:US
Practice Address - Phone:808-634-4234
Practice Address - Fax:808-332-5988
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-90225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist