Individual
GRACE A RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
45-691 KEAAHALA RD RM 30, KANEOHE, HI 96744-3569
(808) 233-5495
(808) 233-5494
Mailing address
58-200 NAPOONALA PL, HALEIWA, HI 96712-8707
(808) 638-0935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1145522
TX
225100000X
Physical Therapist
Primary
PT 3378
HI
Other
Enumeration date
03/15/2007
Last updated
12/02/2011
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