Doctor Name: | MS. LISA M HOOGASIAN |
NPI Number: | 1285718940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,STS |
License Number: | PT#1988 |
Business Practice Address: | 4310 Lower Honoapiilani Rd Suite 110 Lahaina, HI - 967619246 |
Business Phone Number: | 8086690078 |
Business Fax Number: | 8088669017 |
Mailing Address: | 4310 Lower Honoapiilani Rd, Suite 110 LAHAINA |
State: | HI |
Postal Code: | 967619246 |
Phone Number: | 8086690078 |
Fax Number: | 8086690178 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT#1988 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |