Organization
HAWAII SPORTS AND BALANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEYNARD ENRIQUEZ (OWNER)
(808) 634-7055
Entity
Organization
Contact information
Practice address
3088A AUKELE ST, LIHUE, HI 96766-1464
(808) 634-7055
Mailing address
PO BOX 288, LIHUE, HI 96766-0288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2583
HI
Other
Enumeration date
07/14/2008
Last updated
08/09/2010
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