Provider Demographics
NPI:1770887697
Name:LEDINGTON-FISCHER, ANGELA R (PT)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:R
Last Name:LEDINGTON-FISCHER
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 1:5900 OHE ST
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9664
Mailing Address - Country:US
Mailing Address - Phone:808-635-1657
Mailing Address - Fax:808-212-1515
Practice Address - Street 1:5900 OHE ST
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9664
Practice Address - Country:US
Practice Address - Phone:808-635-1657
Practice Address - Fax:808-212-1515
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT1788208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation