Doctor Name: | KATHERINE SHAO |
NPI Number: | 1003149774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18764 |
Business Practice Address: | 1115 W Chestnut St Brockton, MA - 023017501 |
Business Phone Number: | 5085804691 |
Business Fax Number: | |
Mailing Address: | 23 Jeffrey Cir, BEDFORD |
State: | MA |
Postal Code: | 017301553 |
Phone Number: | 6179218309 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |