Individual
MR. JIRO JERRY ISHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2230 LILIHA ST, HONOLULU, HI 96817-1646
(808) 547-6500
Mailing address
6129 SUMMER ST APT C, HONOLULU, HI 96821-2361
(941) 685-7806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
249
HI
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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