Provider Demographics
NPI:1316178965
Name:HAYDEN-CHAPMAN, LISA DENISE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:DENISE
Last Name:HAYDEN-CHAPMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 SW 46TH CT
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5708
Mailing Address - Country:US
Mailing Address - Phone:352-873-3058
Mailing Address - Fax:570-601-0133
Practice Address - Street 1:4600 SW 46TH CT
Practice Address - Street 2:SUITE 140
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5708
Practice Address - Country:US
Practice Address - Phone:352-873-3058
Practice Address - Fax:570-601-0133
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020134225100000X
FLPT30912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist