Organization
CLUB REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON THOMAS DONG (PRESIDENT)
(808) 329-7744
Entity
Organization
Contact information
Practice address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740-2610
(808) 329-7744
(808) 334-1608
Mailing address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740-2610
(808) 329-7744
(808) 334-1608
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
01/24/2025
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