Individual
KYRA R GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
95 MAHALANI ST RM 19A, WAILUKU, HI 96793-2521
(808) 244-7467
Mailing address
808 OLOWALU VILLAGE RD, LAHAINA, HI 96761-9702
(808) 271-3570
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1213
HI
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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