NPI 1184284994

Bryan Park

Practitioner Physical Therapy Assistant Kaneohe, HI

Practice location

Address: 45-090 Namoku St, Kaneohe, HI 96744-5305
Phone: (808) 247-6211
Mailing address: 749 Hao St, Honolulu, HI 96821-1619

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-447 (HI)

Other Physical Therapy Assistant providers in Hawaii →

Registry record

NPI: 1184284994
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2019
Record last updated: 14 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.