Provider Demographics
NPI:1477580355
Name:GIMA, CHARLES WARREN (ATC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:WARREN
Last Name:GIMA
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:1320 ANAPA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1946
Mailing Address - Country:US
Mailing Address - Phone:808-943-2243
Mailing Address - Fax:808-943-2399
Practice Address - Street 1:563 KAMOKU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-5245
Practice Address - Country:US
Practice Address - Phone:808-943-2243
Practice Address - Fax:808-943-2399
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer