Individual
MS. BETTY A FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
82-6066 MAMALAHOA HWY, SUITE 7, CAPTAIN COOK, HI 96704-8204
(808) 323-8123
(808) 323-8125
Mailing address
82-6066 MAMALAHOA HWY, SUITE 7, CAPTAIN COOK, HI 96704-8204
(808) 323-8123
(808) 323-8125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1737
HI
Other
Enumeration date
10/10/2006
Last updated
02/06/2008
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