Individual
MRS. BROOKE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
944 W KAWAILANI ST, HILO, HI 96720-3218
(808) 959-9151
(808) 930-9167
Mailing address
944 W KAWAILANI ST, HILO, HI 96720-3218
(808) 930-9158
(808) 930-9167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1658
HI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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