Provider Demographics
NPI:1780925438
Name:LOCQUIAO, BARBORA SUCHA (LMT)
Entity type:Individual
Prefix:MRS
First Name:BARBORA
Middle Name:SUCHA
Last Name:LOCQUIAO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2086 KEEAUMOKU PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2553
Mailing Address - Country:US
Mailing Address - Phone:808-927-1783
Mailing Address - Fax:808-941-6101
Practice Address - Street 1:1750 KALAKAUA AVE
Practice Address - Street 2:SUITE 512
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3766
Practice Address - Country:US
Practice Address - Phone:808-941-8101
Practice Address - Fax:808-941-6101
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILMT-8528225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist