Organization Name: | CORE SPORTS ANALYSIS, LLC |
NPI Number: | 1043600232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA FONG-REYES (CO-OWNER/VICE PRESIDENT) |
Mailing Address: | 599 Farrington Hwy Ste 102 Kapolei |
State: | HI US |
Postal Code: | 967072028 |
Phone Number: | 8086741142 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2015 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |