Organization
808 PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WRIGHT DPT (PHYSICAL THERAPIST)
(808) 376-5286
Entity
Organization
Contact information
Practice address
1750 KALAKAUA AVE STE 108, HONOLULU, HI 96826-3700
(808) 376-5286
(808) 946-9849
Mailing address
1925 KALAKAUA AVE APT 1403, HONOLULU, HI 96815-1811
(808) 376-5286
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-4277
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972951218
—
WA
Enumeration date
01/09/2018
Last updated
03/20/2019
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