Individual
JOHANNA ANAGARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5722 KALANIANAOLE HWY, HONOLULU, HI 96821-2388
(808) 373-3555
Mailing address
3124 MANOA RD APT A, HONOLULU, HI 96822-1298
(808) 462-9585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4521
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4521
PT LICENSE
HI
Enumeration date
06/08/2018
Last updated
06/08/2018
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