Southern Cross Wellness Maui LLC

NPI #1922833433 in Paia, Hawaii

Provider Information

NPI Number: 1922833433
Entity Type: Organization
Organization Name: Southern Cross Wellness Maui LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 4, 2024
Last Updated: Nov 23, 2024

Practice Location

Address: 120 BALDWIN AVE UNIT 790824
City: Paia
State: Hawaii
ZIP Code: 96779-3033
Phone: (808) 561-5171

Authorized Official

Name: YOLANDA RAEL, MOTR/L, CHT, CLT,
Title: OWNER
Phone: (808) 561-5171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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