Individual
DR. JAMES THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS, TPI
Contact information
Practice address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
(808) 674-1142
Mailing address
599 FARRINGTON HWY STE 102, KAPOLEI, HI 96707-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4632
HI
225200000X
Physical Therapy Assistant
10492
CA
Other
Enumeration date
01/16/2016
Last updated
09/18/2018
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