Mr John T Mizoguchi, OTR | |
111 Hana Hwy Ste 107, Kahului, HI 96732-2300 | |
(808) 877-8717 | |
(808) 877-8718 |
Full Name | Mr John T Mizoguchi |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 111 Hana Hwy Ste 107, Kahului, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376654392 | NPI | - | NPPES |
52704601 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT151 (Hawaii) | Primary |
Provider Name | Therapeutic Associates Of Maui Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285713354 PECOS PAC ID: 2365330297 Enrollment ID: O20040310000836 |
Provider Name | Physical & Industrial Rehabilitation Clinic Of Oahu Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376959650 PECOS PAC ID: 8123245370 Enrollment ID: O20140812000143 |
Mailing Address | Practice Location Address |
---|---|
Mr John T Mizoguchi, OTR 111 Hana Hwy Ste 107, Kahului, HI 96732-2300 Ph: (808) 877-8717 | Mr John T Mizoguchi, OTR 111 Hana Hwy Ste 107, Kahului, HI 96732-2300 Ph: (808) 877-8717 |
Melody Andreu, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 472 Kaulana St, Kahului, HI 96732 Phone: 808-877-7840 | |
Ingrid Rowland, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Papa Pl, Suite 102, Kahului, HI 96732 Phone: 808-873-7700 | |
Dr. Tracy Michiko Yoshimizu, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Hoohana St Ste F, Kahului, HI 96732 Phone: 707-347-9456 | |
Jennifer C Ban, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 472 Kaulana St, Kahului, HI 96732 Phone: 808-877-2761 | |
Mary Patricia Culligan, OTR/L, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Hoohana St Ste F, Kahului, HI 96732 Phone: 760-473-7881 | |
Deanna Ruth Vander Meer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 118 Maa St, Kahului, HI 96732 Phone: 808-244-0077 | |
Sheryl R Salvador, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Kaulana St, Kahului, HI 96732 Phone: 808-877-7840 |