Individual
SHELLEY BOLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7018 HAWAII KAI DR, SUITE 504, HONOLULU, HI 96825-4150
(808) 596-4650
(808) 596-4651
Mailing address
725 KAPIOLANI BLVD, SUITE C124, HONOLULU, HI 96813-6012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
386
HI
225XP0200X
Pediatric Occupational Therapist
Primary
386
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386
OT REGISTRATION
HI
Enumeration date
03/29/2009
Last updated
03/29/2009
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