Individual
STEPHANIE APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41-677 ALA KOA ST, WAIMANALO, HI 96795-1802
(702) 556-4841
Mailing address
41-677 ALA KOA ST, WAIMANALO, HI 96795-1802
(702) 556-4841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-264
HI
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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