TRAVIS-MITCHELL OTA

HONOLULU, HI
NPI1588376354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: HI  PTA-669)
Enumeration Date2022-12-23
Last Update Date2022-12-23
Business Address
TRAVIS-MITCHELL OTA
3138 WAIALAE AVE APT 113
HONOLULU, HI 96816-1539
Phone number: 808-225-9830
Mailing Address
TRAVIS-MITCHELL OTA
3138 WAIALAE AVE APT 113
HONOLULU, HI 96816-1539
Phone number: 808-225-9830
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