Individual
MICAH TANIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1740 ALA AOLANI ST, HONOLULU, HI 96819-1414
(808) 284-6526
Mailing address
1740 ALA AOLANI ST, HONOLULU, HI 96819-1414
(808) 284-6526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2432
HI
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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