Individual
MICHAEL MIZUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3138 WAIALAE AVE APT 218, HONOLULU, HI 96816-1539
(808) 258-1106
Mailing address
3138 WAIALAE AVE, APT. #218, HONOLULU, HI 96816-1535
(808) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6688
CA
Other
Enumeration date
11/26/2012
Last updated
11/27/2012
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