| Doctor Name: | DR. DANA LYNN FONG-REYES |
| NPI Number: | 1134452519 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, CSCS, TPI CGFI |
| License Number: | PT-3123 |
| Business Practice Address: | 599 Farrington Hwy Suite 102 Kapolei, HI - 967072028 |
| Business Phone Number: | 8086741142 |
| Business Fax Number: | 8086741143 |
| Mailing Address: | 599 Farrington Hwy, Suite 102 KAPOLEI |
| State: | HI |
| Postal Code: | 967072028 |
| Phone Number: | 8086741142 |
| Fax Number: | 8086741143 |
| NPI Enumeration Date: | 09/16/2009 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT-3123 |
| 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: | |