| Organization Name: | LAULIMA PHYSICAL THERAPY & REHABILITATION LLC |
| NPI Number: | 1215395223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTINA CHAVIS (PHYSICAL THERAPIST) |
| Mailing Address: | 458 Manawai St # 1203 Kapolei |
| State: | HI US |
| Postal Code: | 96707 |
| Phone Number: | 8082082301 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2016 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 3685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |