Provider Demographics
NPI:1518669456
Name:NAJERA OHANA PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NAJERA OHANA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY MEMBER, OWNER, PT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA-MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJERA-LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-825-0003
Mailing Address - Street 1:2739 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2739 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1718
Practice Address - Country:US
Practice Address - Phone:808-825-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty