Individual
JON SHIROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2325
(808) 243-3058
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2325
(808) 243-3058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1590
HI
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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