Individual
MRS. KONANE M DERYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6243 KAWAIHAE PL, HONOLULU, HI 96825-1911
(808) 258-3559
Mailing address
6243 KAWAIHAE PL, HONOLULU, HI 96825-1911
(808) 258-3559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-16
HI
225XL0004X
Low Vision Occupational Therapist
OT-16
HI
225XN1300X
Neurorehabilitation Occupational Therapist
OT-16
HI
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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