Individual
HEATHER BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 LILIUOKALANI AVE, PH01, HONOLULU, HI 96815-3550
(508) 740-5983
Mailing address
320 LILIUOKALANI AVE, PH01, HONOLULU, HI 96815-3550
(508) 740-5983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1499
HI
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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