Organization
THERAPEUTIC ASSOCIATES OF MAUI, LLC
Active
Organization
THERAPEUTIC ASSOCIATES OF MAUI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T MIZOGUCHI OTR (AUTHORIZED OFFICIAL)
(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
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
12/07/2007
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