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Organization
ORTHOSPORT PHYSICAL THERAPY
Active
Organization
ORTHOSPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G. MATHIS (PRINCIPAL MASSAGE THERAPIST)
(808) 489-8897
Entity
Organization
Contact information
Practice address
5722 KALANIANAOLE HWY, HONOLULU, HI 96821-2388
(808) 373-3555
Mailing address
5722 KALANIANAOLE HWY, HONOLULU, HI 96821-2388
(808) 373-3555
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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