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Organization
PORTNER ORTHOPEDIC REHABILITATION INCORPORATED
Active
Organization
PORTNER ORTHOPEDIC REHABILITATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE NOELLE MANSANAS (EXECUTIVE VICE PRESIDENT)
(808) 379-1515
Entity
Organization
Contact information
Practice address
45-1144 KAMEHAMEHA HWY STE 200, KANEOHE, HI 96744-3226
(808) 247-9408
Mailing address
46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744-3724
(808) 247-7596
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD-4132
HI
Other
Enumeration date
02/07/2007
Last updated
09/06/2024
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