Individual
MATTI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 ULUNIU ST STE 301, KAILUA, HI 96734-2544
(808) 261-4321
(808) 261-4320
Mailing address
407 ULUNIU ST STE 301, KAILUA, HI 96734-2544
(808) 261-4321
(808) 261-4320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2641
HI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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