Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2133 | OR |
N | 2251H1200X | Hand | 2133 | OR |
N | 2251X0800X | Physical Therapist - Orthopedic | 2133 | OR |
NPI | 1538435102 |
---|---|
Provider Name | Ms. Kathleen Anne Ohara |
First Address | Bend, OR 97701 |
Second Address | Bend, OR 97701-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 05/04/2013 |