Provider Demographics
NPI:1881312510
Name:LAULIMA THERAPY LLC
Entity type:Organization
Organization Name:LAULIMA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHONA
Authorized Official - Middle Name:P
Authorized Official - Last Name:COMPOC
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:808-217-6988
Mailing Address - Street 1:PO BOX 492943
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-2943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11-2688 KALEPONI DRIVE
Practice Address - Street 2:
Practice Address - City:VOLCANO
Practice Address - State:HI
Practice Address - Zip Code:96785-9678
Practice Address - Country:US
Practice Address - Phone:808-217-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty