| NPI | 1003136433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN K BLAKE President 808-873-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI 222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |