Doctor Name: | CARLY M WATANABE |
NPI Number: | 1912299264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT3327 |
Business Practice Address: | 407 Uluniu St #301 Kailua, HI - 967342519 |
Business Phone Number: | 8082614321 |
Business Fax Number: | 8082614320 |
Mailing Address: | 407 Uluniu St, #301 KAILUA |
State: | HI |
Postal Code: | 967342519 |
Phone Number: | 8082614321 |
Fax Number: | 8082614320 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3327 |
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 |