Provider Demographics
NPI:1326865270
Name:CRANE, EILEEN S (PT)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:S
Last Name:CRANE
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:PO BOX 377793
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:HI
Mailing Address - Zip Code:96737
Mailing Address - Country:US
Mailing Address - Phone:203-376-8266
Mailing Address - Fax:
Practice Address - Street 1:95-6040 MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:NA'ALEHU
Practice Address - State:HI
Practice Address - Zip Code:96772
Practice Address - Country:US
Practice Address - Phone:808-939-8100
Practice Address - Fax:808-829-3672
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT5700-0225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist