| NPI | 1437645181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KORANDA Occupational Therapist 808-209-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2025-02-21 |