# WAHIAWA REHAB SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Physical & Functional Rehab at Wahiawa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306919964
- **Authorized official:** MR. THOMAS HIE LAR TAN (PRESIDENT)
- **Authorized official phone:** (808) 676-7700

## Contact information

- **Practice address:** 735 CALIFORNIA AVE, WAHIAWA, HI 96786-1935
- **Practice address phone:** (808) 628-9988
- **Practice address fax:** (808) 621-3388
- **Mailing address:** 735 CALIFORNIA AVE, WAHIAWA, HI 96786-1935
- **Mailing address phone:** (808) 628-9988
- **Mailing address fax:** (808) 621-3388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/16/2022