Organization
JACO REHAB WAIKELE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACO J VAN DELDEN P.T. (OWNER)
(808) 381-8947
Entity
Organization
Contact information
Practice address
94-849 LUMIAINA ST, SUITE 101, WAIPAHU, HI 96797-5677
(808) 536-8947
(808) 591-2245
Mailing address
1401 S BERETANIA ST, SUITE 550, HONOLULU, HI 96814-1870
(808) 536-8947
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1582
HI
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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