Individual
KATHERINE K GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L CHT
Contact information
Practice address
95-390 KUAHELANI AVENUE, #1C, MILILANI, HI 96789-1192
(808) 445-4428
(866) 637-9592
Mailing address
95-390 KUAHELANI AVENUE, #1C, MILILANI, HI 96789-1192
(808) 445-4428
(866) 637-9592
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT-668
HI
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT668
OT LICENSE
HI
Enumeration date
07/30/2007
Last updated
03/18/2020
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