Organization
PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GREGORY PAHANG PT, DPT, LMT (OWNER/DOCTOR OF PHYSICAL THERAPY)
(808) 308-5465
Entity
Organization
Contact information
Practice address
91-1488 PUKANALA ST, EWA BEACH, HI 96706-4678
(808) 308-5465
Mailing address
PO BOX 970116, WAIPAHU, HI 96797-0116
(808) 680-0600
(808) 680-0019
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-1939
HI
Other
Enumeration date
06/30/2006
Last updated
07/22/2024
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