DEREK KETELSEN

HONOLULU, HI
NPI1215598586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: HI  4648)
Enumeration Date2019-06-26
Last Update Date2020-05-08
Business Address
DEREK KETELSEN DPT
800 S KING ST
HONOLULU, HI 96813-3010
Phone number: 563-212-0377
Mailing Address
DEREK KETELSEN DPT
800 S KING ST
HONOLULU, HI 96813-3010
Phone number: 808-522-4603
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