Individual
PAMELA JO WIEDERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
45-090 NAMOKU ST, KANEOHE, HI 96744-5305
(843) 906-7047
Mailing address
407 JULIAN AVE, HONOLULU, HI 96818-4913
(843) 906-7047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4726
HI
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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