Individual
CHRISTOPHER RYAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
(808) 334-1608
Mailing address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
(808) 334-1608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2423
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55951002
—
HI
Enumeration date
08/14/2006
Last updated
02/29/2008
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