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Organization

KAILUA PHYSICAL THERAPY CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET S. BARRETTA L.P.T. (OWNER/PRESIDENT)
(808) 261-8931
Entity
Organization

Contact information

Practice address
155 HAMAKUA DR, SUITE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Mailing address
155 HAMAKUA DR, SUITE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
662
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HKPT
MEDICARE ID
HI
Enumeration date
10/05/2007
Last updated
10/05/2007
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