Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT-7 | HI |
N | 225XR0403X | Driving and Community Mobility | OT-7 | HI |
NPI | 1245600600 |
---|---|
Provider Name | Wendy K.t. Kondo |
First Address | Honolulu, HI 96820-2100 |
Second Address | Honolulu, HI 96817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2015 |
Last Update Date | 29/09/2015 |