| NPI | 1871225805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMA METLA Owner 808-940-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-11-21 |