Provider Demographics
NPI:1225459720
Name:DURFEE, KATHLEEN O (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:O
Last Name:DURFEE
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 1:791 CAMPBELL BLVD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1416
Mailing Address - Country:US
Mailing Address - Phone:716-479-0228
Mailing Address - Fax:
Practice Address - Street 1:791 CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1416
Practice Address - Country:US
Practice Address - Phone:716-479-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008939-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist