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Organization

PACIFIC SPORTS REHAB,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL HOWYUE WANG DPT (DOCTORATE OF PHYSICAL THERAPY)
(808) 585-7799
Entity
Organization

Contact information

Practice address
321 N KUAKINI ST, SUITE 801, HONOLULU, HI 96817-2364
(808) 585-7799
(888) 417-2122
Mailing address
321 N KUAKINI ST, SUITE 801, HONOLULU, HI 96817-2364
(808) 521-2002
(888) 417-2122

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2995
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2995
HAWAII PHYSICAL THERAPY LICENSE NUMBER
HI
Enumeration date
08/13/2009
Last updated
09/29/2009
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