# KEOLA MOBILE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245832021
- **Authorized official:** DR. DANIEL UYEUNTEN DPT, MBA (OWNER)
- **Authorized official phone:** (808) 779-2744

## Contact information

- **Practice address:** 3457 PAWAINA ST, HONOLULU, HI 96822-1356
- **Practice address phone:** (808) 779-2744
- **Practice address fax:** (808) 855-6804
- **Mailing address:** 3457 PAWAINA ST, HONOLULU, HI 96822-1356
- **Mailing address phone:** (808) 779-2744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/16/2020