Individual
MARK MIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Mailing address
95-720 LANIKUHANA AVE, STE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4110
HI
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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