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Individual

ELISSA LINDA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
150 HAMAKUA DR # 709, KAILUA, HI 96734-2825
(808) 728-4343
Mailing address
150 HAMAKUA DR # 709, KAILUA, HI 96734-2825
(808) 728-4343

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
453
HI

Other

Enumeration date
02/12/2009
Last updated
02/12/2009
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