Organization
GDO INC.
Active
Other names
P.T. On The G.O.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT WAKATO OKUBO M.S.P.T. (PHYSICAL THERAPIST/PRESIDENT)
(808) 258-2125
Entity
Organization
Contact information
Practice address
91-1171 MAKAALOA ST, EWA BEACH, HI 96706-3929
(808) 258-2125
Mailing address
91-1171 MAKAALOA ST, EWA BEACH, HI 96706-3929
(808) 258-2125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1339
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00I0230020
HAWAII MEDICAL SERVICE ASSOCIATION
HI
05
—
50103203
—
HI
Enumeration date
06/17/2008
Last updated
03/02/2009
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