Individual
TARA ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
(808) 674-1142
Mailing address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5320-0
HI
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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