Organization
MALAMA YOGA & NATURE-BASED THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA TATUM OTR/L (FOUNDER, OCCUPATIONAL THERAPIST)
(808) 757-5301
Entity
Organization
Contact information
Practice address
1711A OLINDA RD, MAKAWAO, HI 96768-7124
(808) 757-5301
(808) 707-3152
Mailing address
PO BOX 1102, MAKAWAO, HI 96768-1102
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306460043
—
CO
Enumeration date
05/22/2023
Last updated
05/22/2023
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