| NPI | 1972673093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN F LOCKETTE Owner 808-262-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-09-09 |