| Doctor Name: | DR. NICHOLAS BRONOWSKI |
| NPI Number: | 1508289885 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 39213 |
| Business Practice Address: | 575 Farrington Hwy Kapolei, HI - 967072001 |
| Business Phone Number: | 8086749262 |
| Business Fax Number: | 8086748481 |
| Mailing Address: | 94-551 Lumiaina St, P203 WAIPAHU |
| State: | HI |
| Postal Code: | 967975219 |
| Phone Number: | 8085460937 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2014 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 39213 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |