IndividualActive
Bryan Park
NPI 1184284994 · Physical Therapy Assistant · Kaneohe, HI
Provider details
- NPI number
- 1184284994
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA-447 (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
45-090 Namoku St
Kaneohe, HI 96744-5305
Phone: (808) 247-6211
Approximate (ZIP-level) locationGet directions
Mailing address
749 Hao St
Honolulu, HI 96821-1619
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2019-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.