Organization
KONA REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY DAVIS (OWNER)
(808) 334-0806
Entity
Organization
Contact information
Practice address
75-1029 HENRY ST, SUITE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Mailing address
75-1029 HENRY ST, SUITE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1924
HI
225X00000X
Occupational Therapist
51
HI
Other
Enumeration date
04/25/2009
Last updated
04/29/2009
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