| NPI | 1841591500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI MARK Owner 808-874-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2644) |
| 225100000X Physical Therapist (Licence: HI 1953) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2020-07-02 |