Enchanted Lake Physical Therapy

LBN: Team Physical Therapy Llc
Enchanted Lake Physical Therapy is an health care organization with primary practice located at 1090 Keolu Dr Suite 104, Kailua HI 96734-3871. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Team Physical Therapy Llc can be contacted via phone (808) 262-2292, or through Clark, Todd K. A. via phone (808) 262-2292.

Contact Information

Primary practice address
1090 Keolu Dr Suite 104 Kailua HI 96734-3871
Phone: (808) 262-2292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Todd K. A. MSPT
Phone: (808) 262-2292

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1942598883
LBN Legal business name Team Physical Therapy Llc
DBA Doing business as Enchanted Lake Physical Therapy
Authorized official Clark, Todd K. A. MSPT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2011
Last updated Mar 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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