Individual
PATRICIA PADIA WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1333 WAIANUENUE AVE, HILO, HI 96720-1202
(808) 961-6644
(808) 961-6630
Mailing address
1333 WAIANUENUE AVE, HILO, HI 96720-1202
(808) 961-6644
(808) 961-6630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 1098
HI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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