Organization
EWA BEACH PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT H TAKIGUCHI PT (OWNER)
(808) 689-9994
Entity
Organization
Contact information
Practice address
91-2139 FORT WEAVER RD, STE 210, EWA BEACH, HI 96706-3609
(808) 689-9994
(808) 689-9995
Mailing address
91-2139 FORT WEAVER RD, STE 210, EWA BEACH, HI 96706-3609
(808) 689-9994
(808) 689-9995
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1315
HI
Other
Enumeration date
03/01/2007
Last updated
07/17/2013
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