Individual
MS. JEANNENE GEMINI BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2161 KALIA RD APT 412, HONOLULU, HI 96815-1909
(520) 227-8161
Mailing address
PO BOX 8842, HONOLULU, HI 96830-0842
(520) 227-8161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4346
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204
STATE OT LICENSE
HI
Enumeration date
05/18/2012
Last updated
01/14/2021
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