Healthcare Provider Details

I. General information

NPI: 1871225805
Provider Name (Legal Business Name): THREE LITTLE DUCKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 MAKALOA ST STE 920
HONOLULU HI
96814-3259
US

IV. Provider business mailing address

1580 MAKALOA ST STE 920
HONOLULU HI
96814-3259
US

V. Phone/Fax

Practice location:
  • Phone: 808-940-2051
  • Fax: 808-204-1700
Mailing address:
  • Phone: 808-940-2051
  • Fax: 808-204-1700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUMA METLA
Title or Position: OWNER
Credential: DPT
Phone: 808-940-2051