Provider Demographics
NPI:1932241577
Name:HADLEY REHAB INC
Entity Type:Organization
Organization Name:HADLEY REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-848-5556
Mailing Address - Street 1:2812B KALIHI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-3058
Mailing Address - Country:US
Mailing Address - Phone:808-848-5556
Mailing Address - Fax:808-848-5557
Practice Address - Street 1:2812B KALIHI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3058
Practice Address - Country:US
Practice Address - Phone:808-848-5556
Practice Address - Fax:808-848-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000218123OtherHMSA QUEST
HI07500801Medicaid