Individual
LIANE Y. K. OTAKE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD # B261, HONOLULU, HI 96817-3950
(808) 483-4906
Mailing address
200 N VINEYARD BLVD # B261, HONOLULU, HI 96817-3950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-399
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-399
STATE OT LICENSE
HI
Enumeration date
04/04/2007
Last updated
08/07/2023
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