Organization
JACO REHAB MILILANI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACO J. VAN DELDEN P.T. (OWNER)
(808) 381-8947
Entity
Organization
Contact information
Practice address
95-1105 AINAMAKUA DRIVE, SUITE 203, MILILANI, HI 96789
(808) 381-8947
(808) 591-2245
Mailing address
1401 S BERETANIA ST, SUITE 550, HONOLULU, HI 96814-1870
(808) 381-8947
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1582
HI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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