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Individual

MRS. PAULINE WANGECI KITHAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2900 PALI HWY, HONOLULU, HI 96817-1479
(781) 420-1110
Mailing address
7021 WAIEA CT, PEARL CITY, HI 96782-3489
(781) 420-1110

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-174
HI

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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