Individual
KIJ SIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
430 KELE ST, KAHULUI, HI 96732-3406
(808) 871-0900
Mailing address
PO BOX 329, MAKAWAO, HI 96768-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5513
HI
Other
Enumeration date
08/10/2022
Last updated
08/15/2022
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