Organization
MAUI MOBILE PHYSICAL THERAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STAMP (MEMBER)
(808) 463-9774
Entity
Organization
Contact information
Practice address
1010 FRONT ST, LAHAINA, HI 96761-1673
(808) 463-9774
(888) 972-6936
Mailing address
PO BOX 213, LAHAINA, HI 96767-0213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2957
HI
Other
Enumeration date
09/29/2017
Last updated
06/20/2018
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