Individual
BENNETT A. ZAZZERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1401 S BERETANIA ST, SUITE 550, HONOLULU, HI 96814-1870
(808) 381-8947
(808) 591-2245
Mailing address
1401 S BERETANIA ST, SUITE 550, HONOLULU, HI 96814-1870
(808) 381-8947
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3854
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-0353213
UHA
HI
Enumeration date
08/19/2014
Last updated
08/19/2014
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