Organization
PHYSICAL & INDUSTRIAL REHABILITATION CLINIC OF OAHU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIZOGUCHI OTR (OWNER)
(808) 524-5247
Entity
Organization
Contact information
Practice address
2810 PAA ST, BUILDING A, HONOLULU, HI 96819-4429
(808) 524-5247
(808) 440-5251
Mailing address
1221 KAPIOLANI BLVD, STE 820, HONOLULU, HI 96814-3503
(808) 524-5247
(808) 440-5251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT151
HI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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