Organization
INDEPENDENT LIFE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH R.K. TOMOSO OTR (OCCUPATIONAL THERAPIST)
(808) 280-5176
Entity
Organization
Contact information
Practice address
768 KEKONA PL, MAKAWAO, HI 96768-9028
(808) 280-5176
Mailing address
768 KEKONA PL, MAKAWAO, HI 96768-9028
(808) 280-5176
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
OT-495
HI
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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