Individual
MARC T. IYOMASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5888
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1850
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25294403
—
HI
Enumeration date
08/17/2006
Last updated
10/09/2007
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