Individual
SCOTT DALE WASSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2459 10TH AVE, HONOLULU, HI 96816-3051
(808) 564-5217
Mailing address
833A PAAHANA ST, HONOLULU, HI 96816-2139
(808) 372-3482
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-183
HI
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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