Organization
ISLAND PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN M KUNIMURA D.P.T. (PHYSICAL THERAPIST/OWNER)
(808) 551-7730
Entity
Organization
Contact information
Practice address
47-471 KIALUA ST, KANEOHE, HI 96744-4848
(808) 551-7730
(808) 200-4584
Mailing address
47-471 KIALUA ST, KANEOHE, HI 96744-4848
(808) 551-7730
(808) 200-4584
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2541
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2541
PT LICENSE NUMBER
HI
Enumeration date
04/15/2013
Last updated
03/25/2014
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