Jaco Rehab Waikele LLC

NPI #1811327059 in Waipahu, Hawaii

Provider Information

NPI Number: 1811327059
Entity Type: Organization
Organization Name: Jaco Rehab Waikele LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 26, 2013
Last Updated: Nov 26, 2013

Practice Location

Address: 94-849 LUMIAINA ST
Address 2: SUITE 101
City: Waipahu
State: Hawaii
ZIP Code: 96797-5677
Phone: (808) 536-8947

Authorized Official

Name: MR. JACO J VAN DELDEN, P.T.
Title: OWNER
Phone: (808) 381-8947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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