Individual
MRS. TRACEY LEA VILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1020 KEOLU DR, C 7-A, KAILUA, HI 96734-3845
(808) 261-9792
(808) 262-8600
Mailing address
1020 KEOLU DR, C 7-A, KAILUA, HI 96734-3845
(808) 261-9792
(808) 262-8600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT691
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55424701
—
HI
Enumeration date
11/22/2006
Last updated
07/08/2007
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