Provider Demographics
NPI:1073938155
Name:HOLCOMB PHYSICAL THERAPY PLUS
Entity Type:Organization
Organization Name:HOLCOMB PHYSICAL THERAPY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:BORNAS
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-638-1855
Mailing Address - Street 1:4679 KOLOHALA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5223
Mailing Address - Country:US
Mailing Address - Phone:808-638-1855
Mailing Address - Fax:808-356-1954
Practice Address - Street 1:4679 KOLOHALA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5223
Practice Address - Country:US
Practice Address - Phone:808-638-1855
Practice Address - Fax:808-356-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT3062261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy