Individual
MILES KAZUAKI MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
459 PATTERSON RD BLDG 110, HONOLULU, HI 96819-1522
(808) 433-0090
(808) 433-0281
Mailing address
459 PATTERSON RD BLDG 110, HONOLULU, HI 96819-1522
(808) 433-0090
(808) 433-0281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-147
HI
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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