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Individual

MR. WENDELL K PIDOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1221 KAPIOLANI BLVD, SUITE 6G, HONOLULU, HI 96814
(808) 593-4005
(808) 591-2625
Mailing address
PO BOX 15683, HONOLULU, HI 96830-5683
(808) 593-4005
(808) 591-2625

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1990
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000232694
HMSA
Enumeration date
03/21/2007
Last updated
07/08/2007
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