Provider Demographics
NPI:1275736118
Name:BOBE', KATHRYN (OT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:
Last Name:BOBE'
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9363 LAKE SERENA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-6509
Mailing Address - Country:US
Mailing Address - Phone:561-716-9558
Mailing Address - Fax:561-948-4169
Practice Address - Street 1:9363 LAKE SERENA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-6509
Practice Address - Country:US
Practice Address - Phone:561-716-9558
Practice Address - Fax:561-948-4169
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7775174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT7775OtherLICENSE NUMBER