Organization
KAUAI IN-HOME THERAPY PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE H. BAKER (CF)
(808) 652-1954
Entity
Organization
Contact information
Practice address
401 PAPALOA RD APT 205, KAPAA, HI 96746-1426
(808) 652-1954
Mailing address
PO BOX 1714, KAPAA, HI 96746-5714
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OT-293
HI
261QR0400X
Rehabilitation Clinic/Center
OT-293
HI
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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