Seashore INC

NPI #1992910400 in Kaneohe, Hawaii

Provider Information

NPI Number: 1992910400
Entity Type: Organization
Organization Name: Seashore INC
Primary Specialty: Physical Therapist
Enumeration Date: May 10, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 45-1144 KAMEHAMEHA HWY
Address 2: SUITE 305
City: Kaneohe
State: Hawaii
ZIP Code: 96744-3244
Phone: (808) 235-7999

Authorized Official

Name: MS. GRETCHEN AMY SEASHORE BOTHA
Title: OWNER
Phone: (808) 235-7999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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