Provider Demographics
NPI:1629196050
Name:LENA OSTERLUND
Entity Type:Organization
Organization Name:LENA OSTERLUND
Other - Org Name:REHAB & EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTERLUND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-955-5560
Mailing Address - Street 1:1451 S KING ST
Mailing Address - Street 2:STE 506
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2506
Mailing Address - Country:US
Mailing Address - Phone:808-955-5560
Mailing Address - Fax:808-955-5580
Practice Address - Street 1:820 MILILANI ST
Practice Address - Street 2:STE 702A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2924
Practice Address - Country:US
Practice Address - Phone:808-523-9363
Practice Address - Fax:808-523-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT 1019225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI=========OtherSSN