Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1912146077 |
---|---|
Provider Name | Cathleen S Carothers |
First Address | Cedar Park, TX 78613-6878 |
Second Address | Cedar Park, TX 78613-6878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2009 |
Last Update Date | 23/02/2009 |