Organization
PHYSICAL THERAPY ON THE ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE RAE SEELEY P.T. (OWNER)
(808) 463-4663
Entity
Organization
Contact information
Practice address
810 KOKOMO RD, C/O UPCOUNTRY FITNESS, HAIKU, HI 96708-5075
(808) 463-4663
Mailing address
PO BOX 882, MAKAWAO, HI 96768-0882
(808) 463-4663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1927
HI
Other
Enumeration date
05/03/2009
Last updated
01/25/2012
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