Individual
MARY JT HALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
85-885 FARRINGTON HWY, WAIANAE, HI 96792-2440
(808) 696-4764
(808) 696-2853
Mailing address
85-885 FARRINGTON HWY, WAIANAE, HI 96792-2440
(808) 696-4764
(808) 696-2853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT-2818
HI
225100000X
Physical Therapist
Primary
PT2818
HI
Other
Enumeration date
12/26/2007
Last updated
05/10/2024
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