| NPI | 1235297151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE L KIM Member Manager 808-593-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT 1990) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |