Provider Demographics
NPI:1437772621
Name:ALOHA PT CARE, LLC
Entity Type:Organization
Organization Name:ALOHA PT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:808-348-9113
Mailing Address - Street 1:6801 BELLAMY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3402
Mailing Address - Country:US
Mailing Address - Phone:180-834-8911
Mailing Address - Fax:
Practice Address - Street 1:6801 BELLAMY AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-3402
Practice Address - Country:US
Practice Address - Phone:808-348-9113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy