Doctor Name: | EVERETT R.K. WONG |
NPI Number: | 1679520985 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT-2591 |
Business Practice Address: | 1090 Keolu Dr Suite 104 Kailua, HI - 967343871 |
Business Phone Number: | 8082622292 |
Business Fax Number: | |
Mailing Address: | 3142 Hayden St, HONOLULU |
State: | HI |
Postal Code: | 968154323 |
Phone Number: | 8082622292 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-2591 |
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 |