Provider Demographics
NPI:1285806331
Name:COKER, CATHERINE LORRAINE (DPT)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LORRAINE
Last Name:COKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 BISHOP ST STE 4005
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3199
Mailing Address - Country:US
Mailing Address - Phone:808-319-8389
Mailing Address - Fax:808-439-6860
Practice Address - Street 1:1088 BISHOP ST STE 4005
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3199
Practice Address - Country:US
Practice Address - Phone:808-319-8389
Practice Address - Fax:808-439-6860
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT3986225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist