Organization
LAULIMA PHYSICAL THERAPY & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA CHAVIS DPT (PHYSICAL THERAPIST)
(808) 208-2371
Entity
Organization
Contact information
Practice address
458 MANAWAI ST UNIT 1203, KAPOLEI, HI 96707
(808) 367-0986
(808) 356-0939
Mailing address
458 MANAWAI ST UNIT 1203, KAPOLEI, HI 96707
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3685
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0322671
HMSA
HI
Enumeration date
02/04/2016
Last updated
07/14/2016
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