Doctor Name: | KATHERINE KAVANAGH |
NPI Number: | 1740567361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305207200 |
Business Practice Address: | 1850 Town Center Pkwy Suite 403 Reston, VA - 201903219 |
Business Phone Number: | 7038105203 |
Business Fax Number: | 7038105494 |
Mailing Address: | 1850 Town Center Pkwy, Suite 403 RESTON |
State: | VA |
Postal Code: | 201903219 |
Phone Number: | 7038105203 |
Fax Number: | 7038105494 |
NPI Enumeration Date: | 11/10/2011 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305207200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |