Healthcare Provider Details

I. General information

NPI: 1225891179
Provider Name (Legal Business Name): HANA LEIGH ABERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANA LEIGH WILLIAMS

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KAILUA MEDICAL ARTS BLDG. 407 ULUNIU STREET, SUITE 301
KAILUA HI
96734
US

IV. Provider business mailing address

2815 ARIZONA RD
HONOLULU HI
96818-6213
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-4321
  • Fax:
Mailing address:
  • Phone: 831-747-4729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-5871
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: