| NPI | 1083461347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN OTAGAKI Member Manager 808-292-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-07-01 |