| Doctor Name: | MR. MIGUEL LANDRON |
| NPI Number: | 1124323712 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT-3025 |
| Business Practice Address: | 221 Mahalani Street Kahului, HI - 96732 |
| Business Phone Number: | 8082807311 |
| Business Fax Number: | |
| Mailing Address: | Po Box 940, HAIKU |
| State: | HI |
| Postal Code: | 967080940 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2011 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT-3025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |