Provider Demographics
NPI:1902026941
Name:AQUINO, PRECIOUS KAI (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:PRECIOUS
Middle Name:KAI
Last Name:AQUINO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 WANAKA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1132
Mailing Address - Country:US
Mailing Address - Phone:808-728-7592
Mailing Address - Fax:
Practice Address - Street 1:1230 WANAKA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-1132
Practice Address - Country:US
Practice Address - Phone:808-728-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01017400225100000X
HI2103225100000X
CA33719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist