Organization
KING PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCITA CORDERO (MANAGER)
(808) 536-1011
Entity
Organization
Contact information
Practice address
1810 N KING ST # E1, HONOLULU, HI 96819-3473
(808) 536-1011
Mailing address
1810 N KING ST # E1, HONOLULU, HI 96819-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005125-01
—
HI
Enumeration date
03/16/2007
Last updated
08/22/2020
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