Provider Demographics
NPI:1184844227
Name:BAXENDALE, HARRIET CHRISTINA (PT)
Entity Type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:CHRISTINA
Last Name:BAXENDALE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-707 IHO PL
Mailing Address - Street 2:BLDG. 2 - # 305
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2513
Mailing Address - Country:US
Mailing Address - Phone:808-486-0556
Mailing Address - Fax:
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 640
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-485-4415
Practice Address - Fax:808-485-4317
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT 494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist