Individual
DONNA VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2230 LILIHA ST # 500, HONOLULU, HI 96817-1646
(808) 547-6027
(808) 547-6095
Mailing address
2230 LILIHA ST # 500, HONOLULU, HI 96817-1646
(808) 547-6027
(808) 547-6095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
HI
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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