Organization
SOUTH SHORE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH YAMRY (ADMINISTRATOR)
(808) 596-2333
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD, SUITE 730, HONOLULU, HI 96814-3503
(808) 596-2333
(808) 596-4545
Mailing address
1221 KAPIOLANI BLVD, SUITE 730, HONOLULU, HI 96814-3503
(808) 596-2333
(808) 596-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000256479
HMSA(BCBS) PIN
HI
01
—
611578900
OWCP
HI
01
—
Z1683
MDX
HI
Enumeration date
01/26/2007
Last updated
06/21/2018
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