Doctor Name: | MRS. KATHRYN COOLEY NESBIT |
NPI Number: | 1932319027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305002111 |
Business Practice Address: | 21000 Education Ct Broadlands, VA - 201485526 |
Business Phone Number: | 5712521011 |
Business Fax Number: | |
Mailing Address: | Po Box 321, WATERFORD |
State: | VA |
Postal Code: | 201970321 |
Phone Number: | 5408823601 |
Fax Number: | 5408823719 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2305002111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |