| NPI | 1396108866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HEACOCK Owner/Physical Therapist 808-235-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI HI1686) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |