Pacific Sports & Rehabilitation Center, LLC

NPI #1275740326 in Honolulu, Hawaii

Provider Information

NPI Number: 1275740326
Entity Type: Organization
Organization Name: Pacific Sports & Rehabilitation Center, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 17, 2007
Last Updated: Sep 17, 2008

Practice Location

Address: 1481 SOUTH KING ST.REET
Address 2: 327
City: Honolulu
State: Hawaii
ZIP Code: 96814-2604
Phone: (808) 955-9000

Authorized Official

Name: MR. VICTOR MITSUO YAMAMOTO, LMT
Title: OWNER MANAGER
Phone: (808) 955-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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