Individual
KATHERINE P BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
441 MOLO ST, KAPAA, HI 96746-9482
(808) 651-5551
Mailing address
PO BOX 1760, KAPAA, HI 96746-5760
(808) 651-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2746
HI
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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