Individual
DR. TARA-RENEE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L IBCLC NLP
Contact information
Practice address
1401 S BERETANIA ST STE 370, HONOLULU, HI 96814-1871
(808) 369-9090
(808) 369-9087
Mailing address
1401 S BERETANIA ST STE 370, HONOLULU, HI 96814-1871
(808) 369-9090
(808) 369-9087
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-309686
—
225X00000X
Occupational Therapist
100574
AK
225X00000X
Occupational Therapist
60075291
WA
225XP0200X
Pediatric Occupational Therapist
11769
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2077-0
HI
Other
Enumeration date
04/27/2011
Last updated
04/14/2023
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