Organization
KE OLA KINO PHYSICAL THERAPY, LLC
Active
Other names
Ke Ola Kino Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MALIA PUA LOKELANI TALLETT PT (OWNER)
(808) 238-4199
Entity
Organization
Contact information
Practice address
2064 KILAUEA AVE, HILO, HI 96720-5233
(808) 238-4199
Mailing address
2064 KILAUEA AVE, HILO, HI 96720-5233
(808) 238-4199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3170
HI
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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