Individual
MARY ANN LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 207, AIEA, HI 96701-3925
(808) 487-0487
Mailing address
5952 WILDCAT LN, HONOLULU, HI 96818-5087
(352) 682-4788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4236
HI
Other
Enumeration date
08/15/2016
Last updated
08/17/2016
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