Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1033383369 |
---|---|
Provider Name | Mrs. Laura Lee Emiko Hufalar |
First Address | Wailuku, HI 96793 |
Second Address | Wailuku, HI 96793 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 17/04/2008 |