| NPI | 1033658968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE K MOMOHARA Managing Member 808-593-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: HI OT105) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: HI OT105) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |