Individual
ELLEN EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3088 AUKELE ST, LIHUE, HI 96766-2124
(808) 632-0033
Mailing address
3088 AUKELE ST, LIHUE, HI 96766-2124
(808) 632-0033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3560
HI
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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