Maui Mobile Physical Theray, LLC

NPI #1063921310 in Lahaina, Hawaii

Provider Information

NPI Number: 1063921310
Entity Type: Organization
Organization Name: Maui Mobile Physical Theray, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 29, 2017
Last Updated: Jun 20, 2018

Practice Location

Address: 1010 FRONT ST
City: Lahaina
State: Hawaii
ZIP Code: 96761-1673
Phone: (808) 463-9774

Authorized Official

Name: ANDREW STAMP
Title: MEMBER
Phone: (808) 463-9774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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