Individual
SHANNON KITAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
944 W KAWAILANI ST, HILO, HI 96720-3218
(808) 959-9151
Mailing address
944 W KAWAILANI ST, HILO, HI 96720-3218
(808) 959-9151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1447
HI
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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