Organization
PT HAWAII, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H GROVER (CHIEF FINANCIAL OFFICER)
(808) 227-4900
Entity
Organization
Contact information
Practice address
91-2139 FORT WEAVER RD, 202, EWA BEACH, HI 96706-3607
(808) 677-5110
(808) 671-2931
Mailing address
91-2135 FORT WEAVER ROAD, SUITE 170, EWA BEACH, HI 96706-1929
(808) 676-5331
(808) 671-2931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2025
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000231688
HMSA QUEST
HI
01
—
00A0231686
BCBS/HMSA
HI
05
—
52633701
—
HI
Enumeration date
05/24/2006
Last updated
07/21/2022
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