Provider Demographics
NPI:1285876581
Name:BOLING, CHRISTOPHER DONALD (OTR)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DONALD
Last Name:BOLING
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
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Mailing Address - Street 1:66-932 KUEWA DR
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9719
Mailing Address - Country:US
Mailing Address - Phone:808-637-2000
Mailing Address - Fax:808-637-2000
Practice Address - Street 1:725 KAPIOLANI BLVD STE C124
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6013
Practice Address - Country:US
Practice Address - Phone:808-536-4650
Practice Address - Fax:808-596-4651
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI385225XG0600X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology