| NPI | 1144673252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T WELLS President 808-445-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-08-20 |