Organization
KOMD HAWAII LLC
Active
Other names
Knockout Movement Disorders Hawaii
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FUKUNAGA DPT (PHYSICAL THERAPIST/MANAGER)
(808) 551-8648
Entity
Organization
Contact information
Practice address
55 S JUDD ST APT 1004, HONOLULU, HI 96817-2610
(808) 551-8648
Mailing address
55 S JUDD ST APT 1004, HONOLULU, HI 96817-2610
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
10/02/2018
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