Provider Demographics
NPI:1013699982
Name:ALOHAJOY PEDIATRIC THERAPY INC.
Entity Type:Organization
Organization Name:ALOHAJOY PEDIATRIC THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:KUO
Authorized Official - Last Name:OTAGURO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:808-321-4906
Mailing Address - Street 1:3630 WOODLAWN TERRACE PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1475
Mailing Address - Country:US
Mailing Address - Phone:808-321-4906
Mailing Address - Fax:
Practice Address - Street 1:3630 WOODLAWN TERRACE PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1475
Practice Address - Country:US
Practice Address - Phone:808-321-4906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty