Healthcare Provider Details

I. General information

NPI: 1205922812
Provider Name (Legal Business Name): FUKUJI & LUM PHYSICAL THERAPY ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 ULUNIU ST STE 301
KAILUA HI
96734-2544
US

IV. Provider business mailing address

407 ULUNIU ST STE 301
KAILUA HI
96734-2544
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-4321
  • Fax: 808-261-4320
Mailing address:
  • Phone: 808-261-4321
  • Fax: 808-261-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number802
License Number StateHI

VIII. Authorized Official

Name: ARTHUR LUM
Title or Position: OWNER/PHYSICAL THERAPIST
Credential:
Phone: 808-261-4321