Individual
NICOLE LEILANI MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 284-0214
Mailing address
94-623 KAUAKAPUU LOOP, MILILANI, HI 96789-1832
(808) 284-0214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
788
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
02/19/2018
Last updated
06/25/2025
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