Individual
JOHN BASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75-1029 HENRY ST SUITE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Mailing address
75-1029 HENRY ST SUITE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
616
HI
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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