Pacific Spine & Rehab

NPI #1518326552 in Kahului, Hawaii

Provider Information

NPI Number: 1518326552
Entity Type: Organization
Organization Name: Pacific Spine & Rehab
Primary Specialty: Physical Therapist
Enumeration Date: Feb 18, 2016
Last Updated: Feb 18, 2016

Practice Location

Address: 95 LONO AVE
Address 2: SUITE 105
City: Kahului
State: Hawaii
ZIP Code: 96732-1610
Phone: (808) 250-1166

Authorized Official

Name: ERIC WRUCK, DC
Title: OWNER
Phone: (808) 250-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Physical Therapist	225100000X	Primary

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