Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2829 | HI |
NPI | 1700475464 |
---|---|
Provider Name | Lynne Nohara-Kido |
First Address | Honolulu, HI 96817-2488 |
Second Address | Honolulu, HI 96817-2488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2021 |
Last Update Date | 15/01/2021 |