Healthcare Provider Details

I. General information

NPI: 1982958401
Provider Name (Legal Business Name): MEGAN ELISE HOCHAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 01/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 HANCOCK BRIDGE PKWY SUITE 103
CAPE CORAL FL
33990-1459
US

IV. Provider business mailing address

2328 HANCOCK BRIDGE PKWY SUITE 103
CAPE CORAL FL
33990-1459
US

V. Phone/Fax

Practice location:
  • Phone: 239-574-7557
  • Fax: 239-574-1315
Mailing address:
  • Phone: 239-573-1518
  • Fax: 239-573-7356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT27901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: