Individual
BRIDGET A VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 HANA HWY, KAHULUI, HI 96732-2300
(808) 446-6382
Mailing address
111 HANA HIGHWAY, KAHULUI, HI 96732
(808) 446-6382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1131
HI
Other
Enumeration date
12/30/2008
Last updated
10/30/2012
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