Organization
EQUIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY A KOZERSKI (MEMBER)
(808) 631-8264
Entity
Organization
Contact information
Practice address
1928 HALEUKANA ST, LIHUE, HI 96766-8972
(808) 631-8264
(808) 427-4199
Mailing address
1928 HALEUKANA ST, LIHUE, HI 96766-8972
(808) 631-8264
(808) 427-4199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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