# KING PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1740304724
- **Authorized official:** LUCITA CORDERO (MANAGER)
- **Authorized official phone:** (808) 536-1011

## Contact information

- **Practice address:** 1810 N KING ST \# E1, HONOLULU, HI 96819-3473
- **Practice address phone:** (808) 536-1011
- **Mailing address:** 1810 N KING ST \# E1, HONOLULU, HI 96819-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005125-01 | — | HI |