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Individual

BIANCA TATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
450 WAIANUENUE AVE BLDG C, HILO, HI 96720-2521
(808) 765-0966
Mailing address
130 WINDMILL HL, WETHERSFIELD, CT 06109-2736
(866) 600-7598

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2722
HI

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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