Organization
THERAPEUTIC ASSOCIATES OF MAUI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T MIZOGUCHI OTR (MEMBER/MANAGER)
(808) 877-8717
Entity
Organization
Contact information
Practice address
111 HANA HWY, SUITE 107, KAHULUI, HI 96732-2300
(808) 877-8717
(808) 877-8718
Mailing address
111 HANA HWY, SUITE 107, KAHULUI, HI 96732-2300
(808) 877-8717
(808) 877-8718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522533
—
HI
Enumeration date
11/02/2006
Last updated
09/11/2025
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