Individual
MRS. MARJA LIISA LIETZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU PROFESSIONAL CENTER, WAIPAHU, HI 96797-3164
(808) 680-9123
(808) 680-9889
Mailing address
46-065 KONOHIKI ST APT 3666, KANEOHE, HI 96744-6136
(808) 489-5620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3280
HI
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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