| NPI | 1942714589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO DE OLIVEIRA CEO/Owner 808-265-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3340) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-02-22 |