Basic Information
| Provider Information | |||||||||
| NPI: | 1467076125 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SAID | ||||||||
| FirstName: | SUMMER | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 SOUTH STREET | ||||||||
| Address2: | #4705 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145379859 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1029 KAPAHULU AVE | ||||||||
| Address2: | #401 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968161332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8087391977 | ||||||||
| FaxNumber: | 8087391979 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2020 | ||||||||
| LastUpdateDate: | 05/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1330958 | TX | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PT5136 | HI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.