Organization
SEASHORE INC
Active
Other names
aloha physical therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRETCHEN AMY SEASHORE BOTHA (OWNER)
(808) 235-7999
Entity
Organization
Contact information
Practice address
45-1144 KAMEHAMEHA HWY, SUITE 305, KANEOHE, HI 96744-3244
(808) 235-7999
(808) 235-7992
Mailing address
45-1144 KAMEHAMEHA HWY, SUITE 305, KANEOHE, HI 96744-3244
(808) 235-7999
(808) 235-7992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50023201
—
HI
Enumeration date
05/10/2007
Last updated
12/28/2007
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