| Organization Name: | HANA LIMA PHYSICAL THERAPY LLC |
| NPI Number: | 1447699848 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID JAMES PETERSON (OWNER, ORGANIZER, MEMBER) |
| Mailing Address: | 59 Akea Pl Kula |
| State: | HI US |
| Postal Code: | 967908501 |
| Phone Number: | 8084460382 |
| Fax Number: | 8088760245 |
| NPI Enumeration Date: | 06/19/2013 |
| NPI Last Update Date: | 06/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | W37235317-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |