Organization
RIDER PHYSICAL THERAPY & SPORTS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN RICHARD RIDER R.P.T. (PRESIDENT)
(808) 826-7433
Entity
Organization
Contact information
Practice address
5161 KUHIO HWY., SUITE E 202, HANALEI, HI 96714-0000
(808) 826-7433
(808) 826-7437
Mailing address
4345 KUKE ST, KILAUEA, HI 96754-5310
(808) 826-7433
(808) 826-7437
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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