Organization
FUKUMOTO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FUKUMOTO DPT (PHYSICAL THERAPIST)
(808) 223-0496
Entity
Organization
Contact information
Practice address
94-1245 HALEULULAAU ST # A2-52, WAIPAHU, HI 96797-6218
(808) 223-0496
Mailing address
94-1245 HALEULULAAU ST # A2-52, WAIPAHU, HI 96797-6218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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