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Organization

OUTDOOR OHANA OCCUPATIONAL THERAPY, LLC

Active
Other names
Outdoor Ohana Occupational Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GABRIELLE M WHITE OTD, OTR/L (FOUNDER & OCCUPATIONAL THERAPIST)
(510) 688-0671
Entity
Organization

Contact information

Practice address
619 PAOPUA LOOP, KAILUA, HI 96734-3535
(510) 688-0671
Mailing address
619 PAOPUA LOOP, KAILUA, HI 96734-3535
(510) 688-0671

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT-1997
STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
HI
Enumeration date
06/04/2021
Last updated
06/04/2021
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