Individual
MR. ANDREJ VINCENT MARICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860
(808) 471-1865
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3120
HI
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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