Individual
MRS. TERESITA ANNE LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
458 PATTERSON RD, HONOLULU, HI 96819
(808) 433-0292
(808) 433-0281
Mailing address
95-678 HINALII ST, MILILANI, HI 96789-2803
(808) 623-1414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
979968
HI
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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