Individual
DIANA JHAMAE LABRADOR SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
94-216 FARRINGTON HWY BOX202, WAIPAHU, HI 96797
(808) 600-9147
(800) 942-7053
Mailing address
94-099 WAIPAHU ST APT A212, WAIPAHU, HI 96797-1712
(808) 600-9147
(800) 942-7053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-346
HI
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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