Individual
PATRICE GOODERMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 22ND AVE RM 101, HONOLULU, HI 96816-4400
(808) 305-9750
(808) 733-9154
Mailing address
475 22ND AVE RM 101, HONOLULU, HI 96816-4400
(808) 305-9750
(808) 733-9154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
286
HI
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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