| NPI | 1184749624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLE LAUCHMAN Physical Therapist 808-734-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT - 2548) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |