Organization
MOON PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE S O MOON PT (OWNER)
(808) 597-1005
Entity
Organization
Contact information
Practice address
320 WARD AVE, SUITE 107, HONOLULU, HI 96814-4001
(808) 597-1005
(808) 597-1006
Mailing address
320 WARD AVE, SUITE 107, HONOLULU, HI 96814-4001
(808) 597-1005
(808) 597-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1843
HI
Other
Enumeration date
09/26/2007
Last updated
06/21/2018
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