Individual
NICOLE M KORANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
64-957 MAMALAHOA HWY, KAMUELA, HI 96743-8415
(808) 209-7934
(808) 883-6262
Mailing address
PO BOX 2765, KAMUELA, HI 96743-2765
(808) 209-7934
(808) 883-6262
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
992
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735277
—
HI
Enumeration date
04/27/2006
Last updated
09/19/2019
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