Individual
DESTINY PLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5308 HAMMOND LN, HONOLULU, HI 96818-3506
(405) 822-6786
Mailing address
5308 HAMMOND LN, HONOLULU, HI 96818-3506
(405) 822-6786
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-765-0
HI
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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