Healthcare Provider Details

I. General information

NPI: 1578922977
Provider Name (Legal Business Name): CHRISTINA-MARIE K SLEIGHT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA-MARIE K DANO

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-1181 KA UKA BLVD STE C
WAIPAHU HI
96797-4485
US

IV. Provider business mailing address

3202 N 194TH ST
ELKHORN NE
68022-3969
US

V. Phone/Fax

Practice location:
  • Phone: 808-260-9056
  • Fax: 808-444-3353
Mailing address:
  • Phone: 808-223-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT61088136
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT-2194
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: