# KILOHANA PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1629369244
- **Authorized official:** BRIDGET VELASCO PT (SOLE MEMBER)
- **Authorized official phone:** (808) 446-6382

## Contact information

- **Practice address:** 829 HAAWI ST, WAILUKU, HI 96793-8353
- **Practice address phone:** (808) 446-6382
- **Mailing address:** 829 HAAWI ST, WAILUKU, HI 96793-8353
- **Mailing address phone:** (808) 446-6382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1131 | HI | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 11/02/2011