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Individual

MS. JONI S WATANABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
161 SOUTH WAKEA AVENUE, KAHULUI, HI 96732
(808) 244-7467
(808) 242-4762
Mailing address
161 SOUTH WAKEA AVENUE, IMUA FAMILY SERVICES, KAHULUI, HI 96732
(808) 244-7467
(808) 242-4762

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
958
HI
225XP0200X
Pediatric Occupational Therapist
Primary
958
HI

Other

Enumeration date
08/26/2009
Last updated
07/28/2015
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