Provider Demographics
NPI:1093926610
Name:RANGE OF MOTION, INC
Entity Type:Organization
Organization Name:RANGE OF MOTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:JR
Authorized Official - Credentials:OTR, CHT, OTD
Authorized Official - Phone:808-521-4766
Mailing Address - Street 1:1360 S BERETANIA ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1520
Mailing Address - Country:US
Mailing Address - Phone:808-521-4766
Mailing Address - Fax:808-521-4768
Practice Address - Street 1:1360 S BERETANIA ST
Practice Address - Street 2:SUITE 401
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1520
Practice Address - Country:US
Practice Address - Phone:808-521-4766
Practice Address - Fax:808-521-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH52772Medicare PIN
HI4554950001Medicare NSC