Individual
JESSA EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 HOOHANA ST STE F, KAHULUI, HI 96732-3527
(808) 446-2032
(833) 565-3144
Mailing address
28 MANO DR, KULA, HI 96790-8526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-000972530
HI
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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