Individual
DR. RYAN FUKUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
587 PONAHAWAI ST, HILO, HI 96720-7659
(808) 969-7072
Mailing address
142 ULUWAI ST, HILO, HI 96720-1923
(808) 345-1709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5150
HI
Other
Enumeration date
04/13/2021
Last updated
04/20/2021
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