Provider Demographics
NPI:1174682157
Name:KATZ, LAUREE ANN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREE
Middle Name:ANN
Last Name:KATZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3009
Mailing Address - Country:US
Mailing Address - Phone:215-733-9606
Mailing Address - Fax:215-733-9607
Practice Address - Street 1:809 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3009
Practice Address - Country:US
Practice Address - Phone:215-733-9606
Practice Address - Fax:215-733-9607
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-015273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist