Provider Demographics
NPI:1902229735
Name:WAHIAWA PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:WAHIAWA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.T./OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-306-7535
Mailing Address - Street 1:302 CALIFORNIA AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1841
Mailing Address - Country:US
Mailing Address - Phone:808-622-4942
Mailing Address - Fax:808-622-1335
Practice Address - Street 1:302 CALIFORNIA AVE STE 211
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1841
Practice Address - Country:US
Practice Address - Phone:808-622-4942
Practice Address - Fax:808-622-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17792251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty