MEDICARE: MR. OLIVER AJULIAN KUI R.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
1	225100000X	Physical Therapist	PT 33095	CA
2	225100000X	Physical Therapist	J1-0001623	DE
3	225100000X	Physical Therapist	PT 20095	FL
4	225100000X	Physical Therapist	PT 008721	GA
5	225100000X	Physical Therapist	PT 2643	HI
6	225100000X	Physical Therapist	03920	IA
7	225100000X	Physical Therapist	028261-1	NY
8	225100000X	Physical Therapist	PT 018097	PA
9	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1598978181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OLIVER AJULIAN KUI R.P.T.

Provider Business Mailing Address
First Line	:	417 SAN CARLOS DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-6144
Country	:	US
Telephone Number	:	941-538-1975
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 SAN CARLOS DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-6144
Country	:	US
Telephone Number	:	941-538-1975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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