Provider Demographics
NPI:1083652457
Name:INTEGRAL REHAB LLC
Entity Type:Organization
Organization Name:INTEGRAL REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:808-387-4995
Mailing Address - Street 1:7018 HAWAII KAI DR
Mailing Address - Street 2:#109
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-4150
Mailing Address - Country:US
Mailing Address - Phone:808-387-4995
Mailing Address - Fax:808-395-5828
Practice Address - Street 1:1481 S KING ST STE 224
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2602
Practice Address - Country:US
Practice Address - Phone:808-387-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty