Individual
NANSIE R VAN DER HOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
354 ULUNIU ST, SUITE 404, KAILUA, HI 96734-2528
(808) 262-1118
(808) 262-0045
Mailing address
236 KAKAHIAKA ST, KAILUA, HI 96734-3460
(808) 262-2818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT443
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506371
HMA
HI
01
—
53234200
ALOHA CARE
HI
05
—
53234203
—
HI
05
—
53234204
—
HI
Enumeration date
10/02/2006
Last updated
07/21/2022
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