Healthcare Provider Details

I. General information

NPI: 1528889409
Provider Name (Legal Business Name): DANE TORII
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/23/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 KAPIOLANI BLVD STE 800
HONOLULU HI
96814-4536
US

IV. Provider business mailing address

1515 NUUANU AVE APT 2351
HONOLULU HI
96817-3728
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-9043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA-524
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: