Individual
NANCY J. SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1333 WAIANUENUE AVE, HILO, HI 96720-1202
(808) 961-6644
Mailing address
1665 WAILUKU DR, HILO, HI 96720-1223
(209) 679-4668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-34481
CA
2251G0304X
Geriatric Physical Therapist
Primary
PT-3282
HI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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