Individual
BEVAL MARI TANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 EIWA ST, LIHUE, HI 96766-1310
(808) 241-3513
Mailing address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 305-9749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-182
HI
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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