Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | 032771 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | P13842 | NC |
NPI | 1114207305 |
---|---|
Provider Name | Dr. Katherine M Beatty |
First Address | Richlands, NC 28574-6271 |
Second Address | Holly Ridge, NC 28445-8660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 21/02/2014 |