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Individual

WADE T SUZUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT899
HI
225100000X
Physical Therapist

Other

Enumeration date
07/20/2019
Last updated
09/05/2019
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