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Individual

BRANDON K NICELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
407 ULUNIU ST, SUITE 301, KAILUA, HI 96734-2519
(808) 261-4321
(808) 261-4320
Mailing address
407 ULUNIU ST, SUITE 301, KAILUA, HI 96734-2519
(808) 261-4321
(808) 261-4320

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2784
HI

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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