| NPI | 1427562305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PETERSON CEO 808-446-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: HI PT-3395) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2022-09-06 |