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NPI Code Detail

MEDICARE: CURT K WATANABE D.P.T.

MEDICARE:   CURT K WATANABE  D.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 Therapist972HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100K79794OTHERHIHMSA

General Provider Information

NPI Number : 1699796425
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURT K WATANABE D.P.T.
Provider Business Mailing Address
First Line : 850 KAMEHAMEHA HWY
Second Line : SUITE 167C
City : PEARL CITY
State : HI
Zip : 96782-2656
Country : US
Telephone Number : 808-454-2285
Fax Number : 808-454-1334
Provider Business Practice Location Address
First Line : 850 KAMEHAMEHA HWY
Second Line : SUITE 167C
City : PEARL CITY
State : HI
Zip : 96782-2656
Country : US
Telephone Number : 808-454-2285
Fax Number : 808-454-1334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/15/2009

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Directions to “ CURT K WATANABE D.P.T.” Practice Location

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