Ismata Corp

NPI #1104868637 in Kailua, Hawaii

Provider Information

NPI Number: 1104868637
Entity Type: Organization
Organization Name: Ismata Corp
Primary Specialty: Physical Therapist
Enumeration Date: Jun 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 130 KAILUA RD
Address 2: 107
City: Kailua
State: Hawaii
ZIP Code: 96734-3420
Phone: (808) 779-8475

Authorized Official

Name: MRS. SHEILA MARIE HARRIS, P.T.
Title: OWNER
Phone: (808) 779-8475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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