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Organization

WALK & ROLL PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVIN OTAGAKI DPT (MEMBER-MANAGER)
(808) 292-1347
Entity
Organization

Contact information

Practice address
96-1173 WAIHONA ST, PEARL CITY, HI 96782-1935
(808) 208-3555
Mailing address
2855 E MANOA RD STE 105, HONOLULU, HI 96822-1854

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251N0400X
Neurology Physical Therapist
Primary

Other

Enumeration date
05/03/2024
Last updated
07/01/2024
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