Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 281 | HI |
NPI | 1265648208 |
---|---|
Provider Name | Hallie G Romero |
First Address | Kihei, HI 96753-9368 |
Second Address | Kahului, HI 96732-2050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000251884 | HMSA (01) | HI |