# MOON PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1326235128
- **Authorized official:** JULIE S O MOON PT (OWNER)
- **Authorized official phone:** (808) 597-1005

## Contact information

- **Practice address:** 320 WARD AVE, SUITE 107, HONOLULU, HI 96814-4001
- **Practice address phone:** (808) 597-1005
- **Practice address fax:** (808) 597-1006
- **Mailing address:** 320 WARD AVE, SUITE 107, HONOLULU, HI 96814-4001
- **Mailing address phone:** (808) 597-1005
- **Mailing address fax:** (808) 597-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT 1843 | HI | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 06/21/2018