Healthcare Provider Details

I. General information

NPI: 1346301843
Provider Name (Legal Business Name): FARRINGTON PHYSICAL THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-1128 KAHUAMO ST
WAIPAHU HI
96797-3419
US

IV. Provider business mailing address

94-1128 KAHUAMO ST
WAIPAHU HI
96797-3419
US

V. Phone/Fax

Practice location:
  • Phone: 808-678-1029
  • Fax: 808-678-1029
Mailing address:
  • Phone: 808-678-1029
  • Fax: 808-678-1029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1312
License Number StateHI

VIII. Authorized Official

Name: MRS. TERESITA A. DELA CRUZ
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 808-678-1029