| NPI | 1972036796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMA FUENTES Physical Therapist 808-321-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT2421) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |