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NPI Code Detail

MEDICARE: MRS. DIANE R MORTON P.T.

MEDICARE: MRS. DIANE R MORTON P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT-2409HI

General Provider Information

NPI Number : 1508811589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE R MORTON P.T.
Provider Business Mailing Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1210
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-596-7300
Fax Number : 808-596-7305
Provider Business Practice Location Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1210
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-596-7300
Fax Number : 808-596-7305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DIANE R MORTON P.T.” Practice Location

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