Doctor Name: | MR. BERT CHIYOTANO TADA |
NPI Number: | 1275636581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1778 |
Business Practice Address: | 3465 Waialae Avenue Suite 240 Honolulu, HI - 96816 |
Business Phone Number: | 8087537617 |
Business Fax Number: | 8087353556 |
Mailing Address: | 3465 Waialae Avenue, Suite 240 HONOLULU |
State: | HI |
Postal Code: | 96816 |
Phone Number: | 8087537617 |
Fax Number: | 8087353556 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |