Individual
MRS. EYDIE HANAMI SHIMOTE NAKASONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., OTR
Contact information
Practice address
1319 PUNAHOU ST, HONOLULU, HI 96826-1001
(808) 983-6742
(808) 983-6752
Mailing address
95-2063 PUUKAA ST, MILILANI, HI 96789-6510
(808) 983-6742
(808) 983-6752
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-382
HI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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