| NPI | 1518326552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WRUCK Owner 808-250-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PTA-241) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: HI DC726) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |