Provider Demographics
NPI:1376768945
Name:HOCKEY, ELIZABETH GREENSLADE (PT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GREENSLADE
Last Name:HOCKEY
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 1:1620 WOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1744
Mailing Address - Country:US
Mailing Address - Phone:216-382-7347
Mailing Address - Fax:216-382-7347
Practice Address - Street 1:1620 WOOD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1744
Practice Address - Country:US
Practice Address - Phone:216-382-7347
Practice Address - Fax:216-382-7347
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH32852251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics