NPI 1215786421

Immanuel King, COTA

Practitioner Occupational Therapy Assistant Honolulu, HI

Practice location

Address: 5113 Maunalani Cir, Honolulu, HI 96816-4019
Phone: (808) 695-2860
Mailing address: 1806 Palolo Ave APT D, Honolulu, HI 96816-2945

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-314-0 (HI)

Other Occupational Therapy Assistant providers in Hawaii →

Registry record

NPI: 1215786421
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2024
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.