Individual
JEREMY ANGARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1618 IWI WAY, HONOLULU, HI 96816-3822
(808) 294-5058
Mailing address
PO BOX 161172, HONOLULU, HI 96816-0925
(808) 294-5058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2919
HI
225100000X
Physical Therapist
PT00008894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162289
LABOR & INDUSTRIES
WA
01
—
7250AN
REGENCE
WA
05
—
8346744
—
WA
01
—
L&I CRIME VICTIM PRG
8930572
WA
Enumeration date
05/18/2006
Last updated
04/01/2009
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