Spencer Tokushima, DPT | |
40 Kupaoa St # B-201, Makawao, HI 96768-6215 | |
(808) 872-0077 | |
Not Available |
Full Name | Spencer Tokushima |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 40 Kupaoa St # B-201, Makawao, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457123937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-5199 (Hawaii) | Primary |
Provider Name | South Shore Physical Therapy & Sportsmedicine Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760435218 PECOS PAC ID: 5799788808 Enrollment ID: O20060810000214 |
Mailing Address | Practice Location Address |
---|---|
Spencer Tokushima, DPT 327 Haulani St, Makawao, HI 96768-8419 Ph: (619) 947-1374 | Spencer Tokushima, DPT 40 Kupaoa St # B-201, Makawao, HI 96768-6215 Ph: (808) 872-0077 |
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