Organization
HALEIWA PHYSICAL THERAPY LLC
Active
Other names
Haleiwa Physical Therapy, Haleiwa Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J FOWLER MPT (OWNER)
(808) 260-7210
Entity
Organization
Contact information
Practice address
66-590 KAMEHAMEHA HWY STE. 2F, HALEIWA, HI 96712
(808) 647-0112
Mailing address
66-590 KAMEHAMEHA HWY STE. 2F, HALEIWA, HI 96712
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3261
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902119621
—
HI
Enumeration date
02/05/2016
Last updated
01/23/2019
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