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Individual

MRS. LORI MELISSA LIEBERMAN CROWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
850 W HIND DR, SUITE 104 AND 108, HONOLULU, HI 96821-1855
(808) 373-4787
(808) 373-4787
Mailing address
639 W HIND DR, HONOLULU, HI 96821-1803
(808) 372-5298

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2180
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209887
SUMMERLIN LIFE
HI
01
23812-1
HMSA QUEST
HI
05
52118901
HI
01
7797487
UNIVERSITY HEALTH ALLIANC
HI
01
B005
TRICARE FOR LIFE PROVIDER
HI
Enumeration date
11/15/2006
Last updated
07/09/2007
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