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Individual

MS. JENNIFER A DEMSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
95-720 LANIKUHANA AVE, SUITE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414
Mailing address
95-720 LANIKUHANA AVE, SUITE 140, MILILANI, HI 96789-2985
(808) 623-6244
(808) 623-6414

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204041
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11361275
CAQH
WA
Enumeration date
03/28/2006
Last updated
05/11/2016
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