Provider Demographics
NPI:1508130238
Name:HOCKETT, EILEEN M (PT)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:M
Last Name:HOCKETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:P
Other - Last Name:MARASIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5588 NEW COVINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5211
Mailing Address - Country:US
Mailing Address - Phone:941-321-7869
Mailing Address - Fax:941-343-9402
Practice Address - Street 1:5588 NEW COVINGTON DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5211
Practice Address - Country:US
Practice Address - Phone:941-321-7869
Practice Address - Fax:941-343-9402
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist