Provider Demographics
NPI:1700906310
Name:HOYT, TRISHA SUZANNE (PT)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:SUZANNE
Last Name:HOYT
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 1:23838 SKYLINE
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1875
Mailing Address - Country:US
Mailing Address - Phone:949-305-8812
Mailing Address - Fax:
Practice Address - Street 1:23838 SKYLINE
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-1875
Practice Address - Country:US
Practice Address - Phone:949-305-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist