Individual
TAMMY LEE K MOMOHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
1401 S BERETANIA ST STE 730, HONOLULU, HI 96814-1881
(808) 593-2830
(808) 593-2840
Mailing address
1401 S BERETANIA ST STE 730, HONOLULU, HI 96814-1881
(808) 593-2830
(808) 593-2840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT105
HI
225XH1200X
Hand Occupational Therapist
OT105
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529406
—
HI
Enumeration date
10/20/2006
Last updated
02/21/2014
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