Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3791 | HI |
N | 225100000X | Physical Therapist | PT00010692 | WA |
N | 2251N0400X | Physical Therapist - Neurology | 3791 | HI |
NPI | 1619161197 |
---|---|
Provider Name | Stephanie Neesvig Vanhoff |
First Address | Kealakekua, HI 96750-8193 |
Second Address | Kealakekua, HI 96750-8193 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 25/04/2019 |