Individual
MS. ELIZABETH TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT. MDT
Contact information
Practice address
3420 ALOHEA AVE, HONOLULU, HI 96816-2206
(808) 398-3357
Mailing address
PO BOX 240794, HONOLULU, HI 96824-0794
(808) 398-3357
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2011
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0233534
HMSA
HI
01
—
208538
HEALTH MANAGEMENT NETWORK
HI
01
—
9716603
UHA PIN#
HI
Enumeration date
11/12/2006
Last updated
04/08/2015
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