Organization
GROW PLAY THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA-RENEE H WHALEN OTD, OTR/L (OWNER)
(808) 369-9090
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST STE 370, HONOLULU, HI 96814-1871
(808) 369-9090
(808) 369-9087
Mailing address
1401 S BERETANIA ST STE 370, HONOLULU, HI 96814-1871
(808) 369-9090
(808) 369-9087
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
09/09/2022
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