# PHYSICAL THERAPY HOMECARE

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

## Provider details

- **NPI number:** 1346442324
- **Authorized official:** MRS. AMANDA PROBERT ELLER MPT (MEMBER LLC, PHYSICAL THERAPIST)
- **Authorized official phone:** (808) 250-6260

## Contact information

- **Practice address:** 160 KEONEKAI RD, KIHEI, HI 96753-7123
- **Practice address phone:** (808) 250-6260
- **Mailing address:** PO BOX 6359, KAHULUI, HI 96733-6359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1859 | HI | Yes |

## Other

- **Enumeration date:** 06/02/2007
- **Last updated:** 09/26/2007
