Organization
LEEWARD OAHU REHAB SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VI D FUENTES P.T. (PHYSICAL THERAPIST)
(808) 671-5928
Entity
Organization
Contact information
Practice address
94-356 WAIPAHU DEPOT ST, WAIPAHU, HI 96797-3057
(808) 671-5928
(808) 677-2720
Mailing address
94-356 WAIPAHU DEPOT ST, WAIPAHU, HI 96797-3057
(808) 671-5928
(808) 677-2720
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 2421
HI
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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