Individual
SUSAN TERLAAK BODNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
1380 LUSITANA ST, SUITE 615, HONOLULU, HI 96813-2421
(808) 521-8109
Mailing address
1380 LUSITANA ST, SUITE 615, HONOLULU, HI 96813-2421
(808) 521-8109
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
502
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55805901
—
HI
Enumeration date
08/12/2006
Last updated
07/08/2007
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