Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1629309331 |
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| LBN Legal business name | PAKOLEA | ||||
| Authorized official | SHAUNA RUSSELL - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/20/2010 | ||||
| Last updated | 08/14/2025 - About 10 months ago | ||||
| Identifiers |
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PAKOLEA
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PAKOLEA