Organization
SHORELINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN D JONES DPT (CO-OWNER)
(239) 440-1075
Entity
Organization
Contact information
Practice address
66-150 KAMEHAMEHA HWY, HALEIWA, HI 96712-1440
(808) 799-7137
(808) 356-1084
Mailing address
66-150 KAMEHAMEHA HWY, HALEIWA, HI 96712-1440
(808) 799-7137
(808) 356-1084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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