Provider Demographics
NPI:1821378530
Name:ESTRADA, LORNA CALUPIG (RPT)
Entity Type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:CALUPIG
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 N KING ST STE 109
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-3470
Mailing Address - Country:US
Mailing Address - Phone:808-847-2644
Mailing Address - Fax:808-847-2624
Practice Address - Street 1:2024 N KING ST STE 109
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3470
Practice Address - Country:US
Practice Address - Phone:808-847-2644
Practice Address - Fax:808-847-2624
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT1903225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist