| NPI | 1629309331 |
|---|---|
| Doing Business As | BIG ISLAND PHYSICAL THERPAY CARE |
| Entity Type | Organization |
| Authorized Contact | SHAUNA KAIULANI RUSSELL WAIKI Co Owner 808-935-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: HI PT-3052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-3052) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2017-03-03 |