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Organization

TRANSFORMING TOMORROWS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER MARIE BUCKLEY OTR/L (CEO)
(781) 424-4120
Entity
Organization

Contact information

Practice address
1300 N HOLOPONO ST STE 108, KIHEI, HI 96753-6946
(781) 424-4120
Mailing address
2136 KONOU PL APT 105, KIHEI, HI 96753-8776
(781) 424-4120

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary

Other

Enumeration date
01/22/2024
Last updated
03/29/2025
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