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Organization
KAILUA PHYSICAL THERAPY CLINIC, INC
Active
Organization
KAILUA PHYSICAL THERAPY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN GIANANTONI LPT (PHYSICIAL THERAPIST)
(808) 261-8931
Entity
Organization
Contact information
Practice address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Mailing address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
707
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6955
MASSAGE THERAPIST
HI
01
—
707
STATE OF HAWAII PHYSICAL THERAPIST LICENSE
HI
Enumeration date
10/20/2009
Last updated
10/20/2009
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