Individual
SUSAN GIANLORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2854 OMAOPIO RD, KULA, HI 96790-8865
(808) 250-6723
Mailing address
2854 OMAOPIO RD, KULA, HI 96790-8865
(808) 250-6723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1969
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0228436
HMSA BILLING NUMBER
HI
05
—
49588906
—
HI
Enumeration date
05/27/2006
Last updated
11/30/2024
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