Healthcare Provider Details

I. General information

NPI: 1508130238
Provider Name (Legal Business Name): EILEEN M HOCKETT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EILEEN P MARASIGAN

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5588 NEW COVINGTON DR
SARASOTA FL
34233-5211
US

IV. Provider business mailing address

5588 NEW COVINGTON DR
SARASOTA FL
34233-5211
US

V. Phone/Fax

Practice location:
  • Phone: 941-321-7869
  • Fax: 941-343-9402
Mailing address:
  • Phone: 941-321-7869
  • Fax: 941-343-9402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT9961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: