Individual
SHANNON OKETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4381 KUKUI GROVE ST STE 3, LIHUE, HI 96766-1639
(808) 246-0144
Mailing address
4381 KUKUI GROVE ST STE 3, LIHUE, HI 96766-1639
(808) 246-0144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3681
HI
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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