Organization
ISLAND PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK K ISHIHARA PT (OWNER)
(808) 593-2610
Entity
Organization
Contact information
Practice address
1314 S KING ST, SUITE 1451, HONOLULU, HI 96814-1956
(808) 593-2610
(808) 591-9420
Mailing address
1314 S KING ST, SUITE 1451, HONOLULU, HI 96814-1956
(808) 593-2610
(808) 591-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250084
—
HI
Enumeration date
11/02/2006
Last updated
08/22/2020
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