Healthcare Provider Details

I. General information

NPI: 1558982520
Provider Name (Legal Business Name): THE REHAB ZONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 ANO ST
KAHULUI HI
96732-1304
US

IV. Provider business mailing address

PO BOX 331344
KAHULUI HI
96733-1344
US

V. Phone/Fax

Practice location:
  • Phone: 808-359-2998
  • Fax:
Mailing address:
  • Phone: 808-796-7858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER HOPTA-DIFILIPPO
Title or Position: OWNER
Credential: PTA
Phone: 808-796-7858