Healthcare Provider Details

I. General information

NPI: 1134447790
Provider Name (Legal Business Name): PAMELA THERESA GARCIA-NEVEU OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4469 WAIALO RD., SUITE C9
ELEELE HI
96705
US

IV. Provider business mailing address

4366 KUKUI GROVE ST STE 205
LIHUE HI
96766-2006
US

V. Phone/Fax

Practice location:
  • Phone: 808-378-4748
  • Fax: 808-320-3489
Mailing address:
  • Phone: 808-378-4748
  • Fax: 808-320-3489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 174
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: