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Individual

LAURA FILTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
380 HUKU LII PL, SUITE 105, KIHEI, HI 96753-7043
(612) 242-6320
Mailing address
PO BOX 791989, PAIA, HI 96779-1989
(612) 242-6320

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9839
CA

Other

Enumeration date
08/09/2013
Last updated
09/10/2014
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