Individual
MS. STEPHANIE HEACOCK-KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T
Contact information
Practice address
45-1144 KAMEHAMEHA HWY STE 305, KANEOHE, HI 96744-3226
(808) 235-7999
(808) 235-7992
Mailing address
45-1144 KAMEHAMEHA HWY, SUITE 305, KANEOHE, HI 96744-3244
(808) 235-7999
(808) 235-7992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012845
OH
225100000X
Physical Therapist
Primary
3444
HI
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/09/2011
Last updated
07/21/2022
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