Organization
OHANA PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSWITHA E GABRIEL (PRESIDENT)
(808) 244-6878
Entity
Organization
Contact information
Practice address
81 CENTRAL AVE, WAILUKU, HI 96793-1723
(808) 244-6878
Mailing address
29 PUUKAI PL, KAHULUI, HI 96732-3208
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-703
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55796001
—
HI
Enumeration date
06/20/2007
Last updated
08/22/2020
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