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Individual

CARLA ELIZABETH WYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
99-128 AIEA HEIGHTS DR STE 207, AIEA, HI 96701-3968
(808) 487-0487
Mailing address
66-146 WAIALUA BEACH RD, HALEIWA, HI 96712-1446
(808) 382-1774

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5656
HI

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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