Individual
ZACHARY ELLIOT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 LILIHA ST, HONOLULU, HI 96817-1646
(808) 547-6000
Mailing address
2345 ALA WAI BLVD APT 903, HONOLULU, HI 96815-5017
(808) 769-7009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5863
ID
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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