Individual
STEVEN HILLARY BACKINOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2207 IO'ELA STREET, STE A, KILAUEA, HI 96754
(808) 828-0416
(808) 828-0717
Mailing address
PO BOX 890, KILAUEA, HI 96754-0890
(808) 828-0416
(808) 828-0717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1305
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07486501
—
HI
Enumeration date
02/12/2007
Last updated
07/09/2007
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