Carol Ann Iadeluca-Myrianthis, PT, PsyD
Physical Therapist in Pahoa, HI. Individual provider (NPI-1).
NPI number1477565745
StatusActive
Last updated in NPPESMay 23, 2008
Details
- NPI
- 1477565745
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carol Ann Iadeluca-Myrianthis
- Credential
- PT, PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- May 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 474 | HI | Yes |
Practice location
15-2866 Government Main RoadPahoa Village Center
Pahoa, HI 96778
Phone 808-965-0880 · Fax 808-965-0770
Mailing address
339 Alawaena StHilo, HI 96720-3506
Phone 808-959-0877
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