Individual
KELLI GANIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MOT, OTR/L
Contact information
Practice address
6 CENTRAL AVE, WAILUKU, HI 96793-1703
(808) 244-5541
(808) 242-8485
Mailing address
6 CENTRAL AVE, WAILUKU, HI 96793-1703
(808) 244-5541
(808) 242-8485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4063
HI
225X00000X
Occupational Therapist
OT1467
HI
Other
Enumeration date
06/02/2015
Last updated
03/21/2017
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