Individual
CARLEN KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75-1029 HENRY ST STE 101, KAILUA KONA, HI 96740-1666
(808) 334-0806
Mailing address
75-1029 HENRY ST STE 101, KAILUA KONA, HI 96740-1666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034675-1
NY
225100000X
Physical Therapist
Primary
4590
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730439324
—
NY
Enumeration date
09/12/2012
Last updated
10/18/2018
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