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NPI Code Detail

MEDICARE: ELIZABETH A CHENG-LEEVER DPT

MEDICARE:   ELIZABETH A CHENG-LEEVER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT883HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220484OTHERHIHMA
20000241331OTHERHIHMSA PPO/HMO/QUEST/65C
30000241331OTHERHITRICARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
50373318OTHERHIUHA 99-0332020
699-0332020OTHERHIHMAA
7204196700OTHERHIOWCP
854184801OTHERHIALOHA CARE

General Provider Information

NPI Number : 1750477345
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A CHENG-LEEVER DPT
Provider Business Mailing Address
First Line : 4311 PAHOA AVENUE
Second Line :
City : HONOLULU
State : HI
Zip : 96816
Country : US
Telephone Number : 808-739-5769
Fax Number :
Provider Business Practice Location Address
First Line : 5722 KALANIANAOLE HWY
Second Line :
City : HONOLULU
State : HI
Zip : 96821-2388
Country : US
Telephone Number : 808-373-3555
Fax Number : 808-373-3666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/21/2022

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Directions to “ ELIZABETH A CHENG-LEEVER DPT” Practice Location

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