JACQUELINE ANN PROFFITT SEIDL

KAILUA, HI
NPI1013180983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: HI  OT-725)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WI  4529-026)
225X00000X Occupational Therapist
(Licence: VA  0119004197)
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
-- JACQUELINE ANN PROFFITT SEIDL OTR/L
2201 BAUER DR
KAILUA, HI 96734-4814
Phone number: 808-638-2892
Mailing Address
-- JACQUELINE ANN PROFFITT SEIDL OTR/L
2201 BAUER DR
KAILUA, HI 96734-4814
Phone number: 808-638-2892