NPI | 1871976837 |
---|---|
Doing Business As | ARCTIC RAVEN PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BRENDA YVONNE WONG Physical Therapist & Owner 808-276-4236 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2365) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |