| NPI | 1245629781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILE COLLADO Owner 808-679-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: HI 261QP2000X) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-05-20 |