| Organization Name: | LEEWARD OAHU REHAB SERVICES, L.L.C. |
| NPI Number: | 1144348673 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VI D FUENTES (PHYSICAL THERAPIST) |
| Mailing Address: | 94-356 Waipahu Depot St Waipahu |
| State: | HI US |
| Postal Code: | 967973057 |
| Phone Number: | 8086715928 |
| Fax Number: | 8086772720 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT 2421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |