Organization
MAKAKILO PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H PEREZ (OWNER/PHYSICAL THERAPIST)
(210) 383-6442
Entity
Organization
Contact information
Practice address
92-6017 PUAPAKE ST, KAPOLEI, HI 96707-2392
(210) 383-6442
Mailing address
92-6017 PUAPAKE ST, KAPOLEI, HI 96707-2392
(210) 383-6442
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-3084
HI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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