| NPI | 1295306660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE K MOMOHARA Managing Member 808-593-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |