Individual
REBECCA A FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
BUILDING 17, BISHOP POINT, PEARL HARBOR, HI 96860
(808) 208-1054
Mailing address
161 ULUPA ST, KAILUA, HI 96734-2355
(703) 946-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212242
VA
2251X0800X
Orthopedic Physical Therapist
2305212242
VA
Other
Enumeration date
08/15/2018
Last updated
08/01/2024
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