| Organization Name: | REHABILITATION AND ORTHOPEDIC CENTER OF KAUAI |
| NPI Number: | 1538523311 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSE ROGER PASAG (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 2-2514 Kaumualii Hwy 211 Kalaheo |
| State: | HI US |
| Postal Code: | 967418303 |
| Phone Number: | 8084958668 |
| Fax Number: | 8084958669 |
| NPI Enumeration Date: | 04/07/2016 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 3128 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |