Hawaii's Impac, LLC

NPI #1750528436 in Kailua, Hawaii

Provider Information

NPI Number: 1750528436
Entity Type: Organization
Organization Name: Hawaii's Impac, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 16, 2009
Last Updated: Jan 16, 2009

Practice Location

Address: 354 KAELEPULU DR APT D
City: Kailua
State: Hawaii
ZIP Code: 96734-3355
Phone: (808) 277-6167

Authorized Official

Name: ANDREA TAYLOR, MS,PT
Title: OWNER
Phone: (808) 277-6167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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