Individual
KACEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 12TH AVE STE 302, HONOLULU, HI 96816-3790
(808) 734-4043
Mailing address
1120 12TH AVE STE 302, HONOLULU, HI 96816-3790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6107
HI
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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