Organization
WALA-AU THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY K ZOLL MS CCC-SLP (OWNER)
(808) 365-8128
Entity
Organization
Contact information
Practice address
2148 AWAPUHI STREET, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Mailing address
2148 AWAPUHI STREET, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000133
—
HI
Enumeration date
05/07/2020
Last updated
05/01/2022
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