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Organization

JACO REHAB KAPOLEI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACO J. VAN DELDEN P.T. (OWNER)
(808) 381-8947
Entity
Organization

Contact information

Practice address
599 FARRINGTON HWY STE 206, KAPOLEI, HI 96707-2028
(808) 381-8947
(808) 591-2245
Mailing address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 381-8947
(808) 591-2245

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/09/2018
Last updated
09/09/2018
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