Individual
ALEXANDER NATHANIEL MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
40 KUPUOHI ST STE 105, LAHAINA, HI 96761-2714
(808) 661-0077
Mailing address
411 HUKU LII PL STE 101, KIHEI, HI 96753-7062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5510
HI
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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