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Organization

OPTIMAL PHYSICAL THERAPY,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUZANNE NAGY MSPT (MANAGER)
(808) 281-4556
Entity
Organization

Contact information

Practice address
87 HOOLAI ST, MAKAWAO, HI 96768-9321
(808) 281-4556
(808) 572-0113
Mailing address
PO BOX 791829, PAIA, HI 96779-1829
(808) 281-4556
(808) 572-0113

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2080
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53192201
HI
Enumeration date
01/19/2006
Last updated
08/22/2020
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