Individual
DR. TRACY MICHIKO YOSHIMIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
335 HOOHANA ST STE F, KAHULUI, HI 96732-3527
(707) 347-9456
Mailing address
PO BOX 6094, KAHULUI, HI 96733-6094
(626) 818-8783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2052
HI
Other
Enumeration date
05/01/2019
Last updated
04/14/2021
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