| NPI | 1902264955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J FOWLER Owner 808-260-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: HI 3261) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-01-23 |