| |
1817 Wells St, Wailuku, HI 96793-2333 | |
(808) 757-4449 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1817 Wells St, Wailuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205515087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Karla Kn Kurokawa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730333725 PECOS PAC ID: 7517020167 Enrollment ID: I20090108000511 |
Mailing Address | Practice Location Address |
---|---|
23 Keoneloa St, Wailuku, HI 96793-2445 Ph: (808) 269-7776 | 1817 Wells St, Wailuku, HI 96793-2333 Ph: (808) 757-4449 |