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Organization

SOUTH KONA PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETTY ANN FACKLER PT (OWNER)
(808) 896-7527
Entity
Organization

Contact information

Practice address
82-6066 MAMALAHOA HWY, SUITE 7, CAPTAIN COOK, HI 96704
(808) 323-8123
(808) 323-8125
Mailing address
82-6066 MAMALAHOA HWY STE 7, CAPTAIN COOK, HI 96704-8204
(808) 323-8123
(808) 323-8125

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
HI1737
HI

Other

Enumeration date
02/15/2018
Last updated
02/15/2018
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