Provider Demographics
NPI:1144528274
Name:ONGSINGCO, KATHERINE V (PT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:V
Last Name:ONGSINGCO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12179 CREST AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-5498
Mailing Address - Country:US
Mailing Address - Phone:818-879-3707
Mailing Address - Fax:
Practice Address - Street 1:12179 CREST AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-5498
Practice Address - Country:US
Practice Address - Phone:818-879-3707
Practice Address - Fax:818-879-3707
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343692251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT34369OtherLICENSE