| NPI | 1760851091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEKOAMANAWALEA WOODWARD Owner 808-721-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3381) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |