Individual
THEA ANN CAYABAN DE VERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/PTA
Contact information
Practice address
POHAKEA ELEMENTARY SCHOOL, 91750 FORT WEAVER ROAD, EWA BEACH, HI 96706
(808) 689-1290
Mailing address
94-333 MOKUOLA ST APT 308, WAIPAHU, HI 96797-6320
(808) 636-3018
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
PTA-582
HI
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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