| NPI | 1558982520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOPTA-DIFILIPPO Owner 808-796-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2021-05-18 |