Individual
JENELYN P. OKUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1001 KAMOKILA BLVD, SUITE 114, KAPOLEI, HI 96707-2014
(808) 674-9595
(808) 674-9696
Mailing address
1001 KAMOKILA BLVD, SUITE 114, KAPOLEI, HI 96707-2014
(808) 674-9595
(808) 674-9696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2486
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000251876
HMSA
HI
05
—
56497301
—
HI
Enumeration date
11/01/2006
Last updated
04/08/2011
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