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Contact Information

SHANE LYKA CORPUZ
45-090 NAMOKU ST
KANEOHE, HI96744-5305
 Phone: 808-497-2353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SHANE LYKA CORPUZ · (Female)

NPI Number 1376350306
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2024
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # OTA-332
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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