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Individual

MRS. ROBERTA TATSUE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 678-3814
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 536-1015

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-838
HI

Other

Enumeration date
09/13/2009
Last updated
09/13/2009
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