Individual
NAOMI T MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1325 S KIHEI ROAD, SUITE 110, KIHEI, HI 96753-8145
(808) 874-6972
(808) 874-6973
Mailing address
1325 S KIHEI ROAD, SUITE 110, KIHEI, HI 96753-8145
(808) 874-6972
(808) 874-6973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60046
OR
225100000X
Physical Therapist
Primary
PT4305
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651972
—
OR
01
—
P01270240
RR MEDICARE
—
Enumeration date
11/20/2012
Last updated
02/08/2017
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