MARK A STACK

MAKAWAO, HI
NPI1962467746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: HI  PT-1242)
Enumeration Date2006-04-17
Last Update Date2007-07-08
Business Address
-- MARK A STACK PT
1043 MAKAWAO AVE SUITE 107
MAKAWAO, HI 96768-9465
Phone number: 808-572-7790
Mailing Address
-- MARK A STACK PT
1043 MAKAWAO AVE SUITE 107
MAKAWAO, HI 96768-9465
Phone number: 808-572-7790
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