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General NPI Number Information
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NPI Number | 1639287063
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Entity Type | Individual
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Provider Name | JOANNA MARIE BILANCIERI DPT
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Gender | Female
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 755 KAIPII ST
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City | KAILUA
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State | HI
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Zip | 96734-2033
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Country | US
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Telephone | 808-284-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 305 ULUNIU ST STE 107
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City | KAILUA
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State | HI
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Zip | 96734-2549
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Country | US
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Telephone | 808-284-6550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2007
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License Number State | HI
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