Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2728 | HI |
N | 2251H1200X | Hand | 2728 | HI |
N | 2251X0800X | Physical Therapist - Orthopedic | 2728 | HI |
NPI | 1629192182 |
---|---|
Provider Name | Ms. Crystal Elizabeth Alderfer |
First Address | Long Beach, CA 90807-4338 |
Second Address | Honolulu, HI 96814-1520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 27/11/2007 |