Individual
MISS SAMANTHA DAWN STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CLT
Contact information
Practice address
380 HUKU LI'I PLACE, SUITE 105, KIHEI, HI 96753
(808) 879-0077
Mailing address
380 HUKU LI'I PLACE, SUITE 105, KIHEI, HI 96753
(808) 879-0077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3413
HI
Other
Enumeration date
08/10/2011
Last updated
10/22/2012
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