Individual
LEDA JELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75 MAUI LANI ELUA PARKWAY, WAILUKU, HI 96793
(808) 243-6000
Mailing address
155 MOKUAHI ST, MAKAWAO, HI 96768-8963
(808) 398-2552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4460
HI
Other
Enumeration date
09/05/2017
Last updated
03/18/2021
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