| NPI | 1740648245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BOURLAI PT, Owner/Manager 808-283-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 6205) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-02-21 |