Provider Demographics
NPI:1063738813
Name:DEFENSE FINANCE & ACTG SERVICE
Entity type:Organization
Organization Name:DEFENSE FINANCE & ACTG SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TBI OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:TBI OTR/L, TLP
Authorized Official - Phone:808-433-8616
Mailing Address - Street 1:9 BROOK HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST HADDAM
Mailing Address - State:CT
Mailing Address - Zip Code:06423-1385
Mailing Address - Country:US
Mailing Address - Phone:860-304-8397
Mailing Address - Fax:
Practice Address - Street 1:691 SCHOFIELD BARRACKS
Practice Address - Street 2:U.S ARMY HEALTH CLINIC BLDG
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96859
Practice Address - Country:US
Practice Address - Phone:808-433-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001655286500000X
FL13474286500000X
RI01150286500000X
HI741286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital