Individual
TYLER J PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
78-6831 ALII DR, #420, KAILUA KONA, HI 96740-2495
(808) 498-4144
(808) 498-4153
Mailing address
78-6831 ALII DR, #420, KAILUA KONA, HI 96740-2495
(808) 498-4144
(808) 498-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3896
HI
Other
Enumeration date
08/14/2013
Last updated
11/28/2014
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