| NPI | 1003348400 |
|---|---|
| Doing Business As | 80/20 PHYSICAL THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ERIN L WAGNER Member Manager 808-987-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-05-09 |