Individual
JIMMIE WILBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ALA MOANA BLVD, HONOLULU, HI 96813-4920
(903) 274-6794
Mailing address
1001 QUEEN ST APT 4003, HONOLULU, HI 96814-5242
(903) 274-6794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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