Abby Davis, | |
1434 Punahou St, Honolulu, HI 96822-4754 | |
(314) 660-9525 | |
Not Available |
Full Name | Abby Davis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1434 Punahou St, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518635747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-1665 (Hawaii) | Primary |
Provider Name | Ptworks, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831387158 PECOS PAC ID: 3577650555 Enrollment ID: O20071107000858 |
Mailing Address | Practice Location Address |
---|---|
Abby Davis, 2670 Pacific Heights Rd, Attn Pt Works Hawaii, Honolulu, HI 96813-1049 Ph: () - | Abby Davis, 1434 Punahou St, Honolulu, HI 96822-4754 Ph: (314) 660-9525 |
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