IMMANUEL KING

HONOLULU, HI
NPI1215786421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: HI  OTA-314-0)
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
IMMANUEL KING COTA
5113 MAUNALANI CIR
HONOLULU, HI 96816-4019
Phone number: 808-695-2860
Mailing Address
IMMANUEL KING COTA
1806 PALOLO AVE APT D
HONOLULU, HI 96816-2945
Phone number: 808-936-4851