Individual
BONNIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 WAIANUENUE AVE, HILO, HI 96720-1202
(808) 934-2334
Mailing address
PO BOX 441, LAUPAHOEHOE, HI 96764-0441
(808) 298-4468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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