Individual
KATHLEEN N. TAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5888
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-114
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000261735
HMSA BILLING NUMBER
HI
05
—
58693502
—
HI
Enumeration date
05/20/2006
Last updated
10/09/2007
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