Organization
INDEPENDENT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PISKURA PT (PHYSICAL THERAPIST/OWNER)
(808) 343-1756
Entity
Organization
Contact information
Practice address
3255 LAMALOA PL, HONOLULU, HI 96816-2535
(808) 343-1756
(808) 312-3460
Mailing address
PO BOX 11564, HONOLULU, HI 96828-0564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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