Individual
MRS. CAROL A TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1210 WILHELMINA RISE, HONOLULU, HI 96816-3287
(858) 229-1358
Mailing address
1512 KEEAUMOKU ST, HONOLULU, HI 96822-4304
(808) 282-1351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-61
HI
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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