Provider Demographics
NPI:1508268004
Name:ZAZZERA, JOANNE K (PT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:K
Last Name:ZAZZERA
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 1:91-6390 KAPOLEI PKWY
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6380
Mailing Address - Country:US
Mailing Address - Phone:808-691-4211
Mailing Address - Fax:808-691-5388
Practice Address - Street 1:OCEANPOINTE OUTPATIENT PHYSICAL THERAPY
Practice Address - Street 2:91-6390 KAPOLEI PKWY
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:808-691-4211
Practice Address - Fax:808-691-5388
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-3863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI99-0353213OtherUHA