Healthcare Provider Details

I. General information

NPI: 1033658968
Provider Name (Legal Business Name): HAWAII HAND & REHABILITATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BERETANIA ST STE 900
HONOLULU HI
96814-1875
US

IV. Provider business mailing address

1401 S BERETANIA ST STE 900
HONOLULU HI
96814-1875
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-2830
  • Fax:
Mailing address:
  • Phone: 808-593-2830
  • Fax: 808-593-2840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT105
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT105
License Number StateHI

VIII. Authorized Official

Name: SHERI AZAMA
Title or Position: OWNER
Credential: OTD, OTR/L, CHT, CLT
Phone: 808-593-2830