Individual
KATHRYN M. TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 591-2244
(808) 591-2245
Mailing address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 591-2244
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4559
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-0353213
UHA
HI
Enumeration date
04/24/2018
Last updated
04/24/2018
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