Organization Name: | KAUAI IN-HOME THERAPY PLUS |
NPI Number: | 1235418922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARLENE H. BAKER (CF) |
Mailing Address: | 401 Papaloa Rd Apt 205 Kapaa |
State: | HI US |
Postal Code: | 967461426 |
Phone Number: | 8086521954 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | OT-293 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |