Individual
MRS. FABIENNE MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
932 WARD AVE 6TH FLOOR SUITE 600, MANAKAI O MALAMA, HONOLULU, HI 96814
(808) 535-5555
(808) 535-5556
Mailing address
59-791 ALAPIO RD, HALEIWA, HI 96712-9514
(808) 638-5087
(808) 535-5556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 603
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H0028103
HMSA
HI
01
—
025244
ALOHA CARE
HI
01
—
025244
ALOHA CARE
—
05
—
02524418
—
HI
01
—
142261
DEPT.OF LABOR WASH. WC
WA
01
—
142261
DEPT.OF LABOR WASH WC
—
Enumeration date
02/09/2007
Last updated
01/25/2011
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