Organization
KAILUA PHYSICAL THERAPY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN GIANANTONI LPT (PHYSICIAL THERAPIST)
(808) 261-8931
Entity
Organization
Contact information
Practice address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Mailing address
155 HAMAKUA DR STE B, KAILUA, HI 96734-2849
(808) 261-8931
(808) 261-0301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
707
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6955
MASSAGE THERAPIST
HI
01
—
707
STATE OF HAWAII PHYSICAL THERAPIST LICENSE
HI
Enumeration date
10/20/2009
Last updated
10/20/2009
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