Healthcare Provider Details

I. General information

NPI: 1023822004
Provider Name (Legal Business Name): ERGONOMIC EDUCATORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 LIKINI ST APT 1804
HONOLULU HI
96818-3037
US

IV. Provider business mailing address

5180 LIKINI ST APT 1804
HONOLULU HI
96818-3037
US

V. Phone/Fax

Practice location:
  • Phone: 808-629-9982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ALI
Title or Position: CREDENTIALING SPECILIST
Credential:
Phone: 201-855-3011