Organization Name: | ISMATA CORP |
NPI Number: | 1104868637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEILA MARIE HARRIS (OWNER) |
Mailing Address: | 130 Kailua Rd 107 Kailua |
State: | HI US |
Postal Code: | 967343420 |
Phone Number: | 8087798475 |
Fax Number: | 8083948702 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |