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Organization
BOUNDLESS BREATH LLC
Active
Organization
BOUNDLESS BREATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEAVEN MARCULIS OTR/L (OWNER)
(727) 458-5738
Entity
Organization
Contact information
Practice address
5281 LOWER KULA RD, KULA, HI 96790-7712
(727) 458-5738
Mailing address
5281 LOWER KULA RD, KULA, HI 96790-7712
(727) 458-5738
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
02/14/2020
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