Provider Demographics
NPI:1124344197
Name:ATTA, DEREK M (DPT)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:M
Last Name:ATTA
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Gender:M
Credentials:DPT
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Mailing Address - Street 1:98-657 PAPALEALII ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2755
Mailing Address - Country:US
Mailing Address - Phone:808-256-8395
Mailing Address - Fax:808-495-4418
Practice Address - Street 1:99-115 AIEA HEIGHTS DR STE 253
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3975
Practice Address - Country:US
Practice Address - Phone:808-773-8811
Practice Address - Fax:808-495-4418
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2019-11-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic