Provider Demographics
NPI:1871225805
Name:THREE LITTLE DUCKS
Entity Type:Organization
Organization Name:THREE LITTLE DUCKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:METLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:808-940-2051
Mailing Address - Street 1:644 KEOLU DR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3928
Mailing Address - Country:US
Mailing Address - Phone:808-940-2051
Mailing Address - Fax:
Practice Address - Street 1:644 KEOLU DR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3928
Practice Address - Country:US
Practice Address - Phone:808-940-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty