Professional Rehab Therapy, LLC

NPI #1669612941 in Waipahu, Hawaii

Provider Information

NPI Number: 1669612941
Entity Type: Organization
Organization Name: Professional Rehab Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 27, 2009
Last Updated: Feb 27, 2009

Practice Location

Address: 94-229 WAIPAHU DEPOT ST STE 301
City: Waipahu
State: Hawaii
ZIP Code: 96797-3033
Phone: (808) 671-7414

Authorized Official

Name: MS. KATHLEEN I. CLARK
Title: OWNER/THERAPIST
Phone: (808) 671-7414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapist	225100000X	Primary

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