| NPI | 1952151151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DOUGLAS JONES Owner 808-214-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-04-08 |