Individual
SHENNA ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-158 HAAA ST, WAIPAHU, HI 96797-1401
(808) 392-5879
Mailing address
94-158 HAAA ST, WAIPAHU, HI 96797-1401
(808) 392-5879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-523
HI
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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