Individual
MR. BARRON LYNN FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
79-1019 HAUKAPILA ST, KONA COMMUNITY HOSPITAL, KEALAKEKUA, HI 96750-7920
(808) 322-4475
(808) 322-4539
Mailing address
PO BOX 76, KEALAKEKUA, HI 96750-0076
(808) 328-8173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1736
HI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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