Organization
KEOLA MOBILE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL UYEUNTEN DPT, MBA (OWNER)
(808) 779-2744
Entity
Organization
Contact information
Practice address
3457 PAWAINA ST, HONOLULU, HI 96822-1356
(808) 779-2744
(808) 855-6804
Mailing address
3457 PAWAINA ST, HONOLULU, HI 96822-1356
(808) 779-2744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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