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MR. KEANE A. K KUAPAHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3850 S MERIDIAN, PUYALLUP, WA 98373-3701
(253) 845-9098
Mailing address
1423 N PROSPECT ST, TACOMA, WA 98406-8011
(808) 258-5449

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P16000029289
WA

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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