| Doctor Name: | MRS. KATHERINE ANN KAREN CANO MENDOZA |
| NPI Number: | 1558598326 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501013312 |
| Business Practice Address: | 31270 Springlake Blvd Apt. 2302 Novi, MI - 483771124 |
| Business Phone Number: | 4102065064 |
| Business Fax Number: | |
| Mailing Address: | 31270 Springlake Blvd, Apt. 2302 NOVI |
| State: | MI |
| Postal Code: | 483771124 |
| Phone Number: | 4102065064 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2009 |
| NPI Last Update Date: | 06/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501013312 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| 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 |