Organization
THE FORGE - HEALTH AND FITNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FUKUNAGA DPT (MANAGER)
(808) 551-8648
Entity
Organization
Contact information
Practice address
955 WAIMANU ST, HONOLULU, HI 96814-3319
(808) 818-3433
(808) 427-6071
Mailing address
1520 WARD AVE APT 904, HONOLULU, HI 96822-3556
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/18/2021
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