Individual
MASAYO OMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1001 QUEEN STREET UNIT 3413, HONOLULU, HI 96814-5602
(414) 617-4976
Mailing address
1001 QUEEN STREET, UNIT 3413, HONOLULU, HI 96814
(414) 617-4976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
056005717
IL
235Z00000X
Speech-Language Pathologist
Primary
SP-1824
HI
Other
Enumeration date
04/26/2007
Last updated
01/09/2022
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