Individual
DR. GABRIELLE MICHIKO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
98-825 MOANALUA RD, AIEA, HI 96701-5225
(808) 307-4500
Mailing address
619 PAOPUA LOOP, KAILUA, HI 96734-3535
(510) 688-0671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
21350
CA
225X00000X
Occupational Therapist
Primary
OT1997
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21350
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
—
438546
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
OT-1997
STATE OF HAWAII
HI
Enumeration date
01/08/2021
Last updated
01/08/2021
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