Healthcare Provider Details

I. General information

NPI: 1952078339
Provider Name (Legal Business Name): KATHLEEN BURKE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2021
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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number1680
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1680
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: