Organization
KILOHANA PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET VELASCO PT (SOLE MEMBER)
(808) 446-6382
Entity
Organization
Contact information
Practice address
829 HAAWI ST, WAILUKU, HI 96793-8353
(808) 446-6382
Mailing address
829 HAAWI ST, WAILUKU, HI 96793-8353
(808) 446-6382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1131
HI
Other
Enumeration date
04/29/2011
Last updated
11/02/2011
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