Individual
MRS. SANDRA K KONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
1
HI
Enumeration date
03/24/2006
Last updated
07/08/2007
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