Individual
MICHAEL M EBESU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 778-6728
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 778-6728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2245
HI
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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