Healthcare Provider Details

I. General information

NPI: 1457847113
Provider Name (Legal Business Name): BRITTANY MARIE LARGO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY MARIE WASHKO

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2-2488 KAUMUALII HWY
KALAHEO HI
96741-8311
US

IV. Provider business mailing address

2-2488 KAUMUALII HWY
KALAHEO HI
96741-8311
US

V. Phone/Fax

Practice location:
  • Phone: 808-320-7159
  • Fax: 808-335-5657
Mailing address:
  • Phone: 808-320-7159
  • Fax: 808-335-5657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: