Individual
MRS. REBECCA HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 305-9812
Mailing address
475 22ND AVE RM 137, HONOLULU, HI 96816-4400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1540
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-1540
OCCUPATIONAL THERAPIST
HI
Enumeration date
08/12/2019
Last updated
08/12/2019
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