Individual
MR. DERRICK KEIJI ISHIHARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1314 S KING ST, STE. #1451, HONOLULU, HI 96814-1956
(808) 593-2610
(808) 591-9420
Mailing address
1314 S KING ST, STE. #1451, HONOLULU, HI 96814-1956
(808) 593-2610
(808) 591-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 554
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01161501
—
HI
Enumeration date
03/06/2006
Last updated
07/08/2007
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