Individual
MR. GRANT H TAKIGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
91-2139 FORT WEAVER RD, STE 210, EWA BEACH, HI 96706-3609
(808) 689-9994
(808) 689-9995
Mailing address
91-2139 FORT WEAVER RD, STE 210, EWA BEACH, HI 96706-3609
(808) 689-9994
(808) 689-9995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315
HI
Other
Enumeration date
02/27/2007
Last updated
07/17/2013
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