Individual
TIMOTHY NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T
Contact information
Practice address
1210 WILHELMINA RISE, UNIT B, HONOLULU, HI 96816-3287
(808) 260-9056
Mailing address
1210 WILHELMINA RISE, UNIT B, HONOLULU, HI 96816-3287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-621
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-621
OT STATE LICENSE
HI
Enumeration date
02/25/2014
Last updated
02/25/2014
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