Individual
MR. ALAN D. NITAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
81 MAKAWAO AVENUE, SUITE 110, MAKAWAO, HI 96768
(808) 572-2281
(808) 573-5869
Mailing address
28 KUINEHE PLACE, MAKAWAO, HI 96768
(310) 528-8240
(310) 329-9586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3528
HI
261QP2000X
Physical Therapy Clinic/Center
PT6944
CA
Other
Enumeration date
06/15/2006
Last updated
04/12/2013
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