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Individual

ELIZABETH CHAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 678-3814
Mailing address
91-1019 MAKAHOU ST, KAPOLEI, HI 96707-1949
(808) 497-8961

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1202
HI
252Y00000X
Early Intervention Provider Agency
OT-1202
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64676303
HI
Enumeration date
01/28/2013
Last updated
10/21/2016
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