Individual
TATE THIEN TSUKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
575 FARRINGTON HWY, KAPOLEI, HI 96707-2001
(808) 674-9262
(808) 674-8481
Mailing address
98-487 PONO ST, AIEA, HI 96701-2108
(808) 783-9417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2111
HI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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