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Organization
ESSER CORP
Active
Organization
ESSER CORP
Active
Parent organization
PAKOLEA LLC
Other names
Big Island Physical Therapy Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAKOLEA LLC
Authorized official
MRS. SHAUNA KA'IULANI RUSSELL WAIKI DPT (OWNER)
(808) 935-5255
Entity
Organization
Contact information
Practice address
740 KILAUEA AVE, HILO, HI 96720-4234
(808) 935-5255
(808) 961-9044
Mailing address
PO BOX 6783, HILO, HI 96720
(808) 935-5255
(808) 961-9044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
HI
Other
Enumeration date
03/23/2007
Last updated
05/04/2016
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