Individual
STACIE KELIINOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
94-1060 WAIOPAE ST, WAIPAHU, HI 96797-5319
(808) 391-7092
Mailing address
94-1060 WAIOPAE ST, WAIPAHU, HI 96797-5319
(808) 391-7092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41189
CA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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