| NPI | 1811064181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL G TACATA Dr. 808-843-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: HI 0653911) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |