Individual
COURTNEY NIKOLAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
500 ALA MOANA BLVD. MARESCA PHYSICAL THERAPY, BLDG 1 SUITE 300, HONOLULU, HI 96813
(253) 278-1297
Mailing address
500 ALA MOANA BLVD. MARESCA PHYSICAL THERAPY, BLDG 1 SUITE 300, HONOLULU, HI 96813
(808) 548-0824
(808) 441-0042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00008903
LICENSE
WA
Enumeration date
09/24/2007
Last updated
07/18/2014
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