Organization
PROXIMAL PHYSICAL THERAPY AND WELLNESS LLC
Active
Other names
Proximal Physical Therapy and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SAGUIGUIT PT (STAFF PT)
(808) 796-3310
Entity
Organization
Contact information
Practice address
15-2984 PAHOA VILLAGE RD, PAHOA, HI 96778
(808) 796-3310
(808) 796-3309
Mailing address
PO BOX 492907, KEAAU, HI 96749-2907
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770940413
—
HI
Enumeration date
10/05/2021
Last updated
10/05/2021
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