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Individual

TYLER MIKAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
46-005 KAWA ST STE 211, KANEOHE, HI 96744-3838
(808) 235-6818
Mailing address
91-108 HALOKO PL, EWA BEACH, HI 96706-3922
(808) 291-5128

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5234-0
HI

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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