Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05013737A | IN |
N | 225100000X | Physical Therapist | 070.018149 | IL |
NPI | 1003165226 |
---|---|
Provider Name | Katharine M Albright |
First Address | Westmont, IL 60559-5548 |
Second Address | Bloomington, IN 47401-6166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2012 |
Last Update Date | 25/08/2020 |