Provider Demographics
NPI:1952346595
Name:PAGDILAO, CHRISTOPHER JOEL (ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOEL
Last Name:PAGDILAO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 W PAPA AVE
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2731
Mailing Address - Country:US
Mailing Address - Phone:808-357-0651
Mailing Address - Fax:
Practice Address - Street 1:660 LONO AVE
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2530
Practice Address - Country:US
Practice Address - Phone:808-873-3000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer