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Jordyn Watanabe

Physical Therapist in Aiea, HI. Individual provider (NPI-1).

NPI number1982303855
StatusActive
Last updated in NPPESMar 3, 2023

Details

NPI
1982303855
Entity type
Individual (NPI-1)
Name
Jordyn Watanabe
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 28, 2023
Certification date
Mar 3, 2023
Last updated
Mar 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5604HIYes

Practice location

98-1005 Moanalua Rd Spc 410
Aiea, HI 96701-4702

Phone 808-488-5555

Mailing address

95-216 Hooni Pl
Mililani, HI 96789-4871

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