Individual
MR. VERNON CHARLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2230 LILIHA ST, HONOLULU, HI 96817-1646
(808) 547-6500
Mailing address
4964 KILAUEA AVE, UNIT #1, HONOLULU, HI 96816-5724
(808) 428-8884
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
347662
HI
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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