Organization
PHYSICAL THERAPY HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA PROBERT ELLER MPT (MEMBER LLC, PHYSICAL THERAPIST)
(808) 250-6260
Entity
Organization
Contact information
Practice address
160 KEONEKAI RD, KIHEI, HI 96753-7123
(808) 250-6260
Mailing address
PO BOX 6359, KAHULUI, HI 96733-6359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1859
HI
Other
Enumeration date
06/02/2007
Last updated
09/26/2007
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