Provider Demographics
NPI:1376005777
Name:HARMAN, CATHY SUE (LPTA)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:SUE
Last Name:HARMAN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:SAMPLES
Other - Last Name:HARMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:222 FULCHER ST
Mailing Address - Street 2:
Mailing Address - City:HILLSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24343-1633
Mailing Address - Country:US
Mailing Address - Phone:276-728-2486
Mailing Address - Fax:276-728-9077
Practice Address - Street 1:222 FULCHER ST
Practice Address - Street 2:
Practice Address - City:HILLSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24343-1633
Practice Address - Country:US
Practice Address - Phone:276-728-2486
Practice Address - Fax:276-728-9077
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001721225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
3207016OtherCIGNA