Provider Demographics
NPI:1376537944
Name:BRINGLE, KATHERINE ANN (PHD, PT)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANN
Last Name:BRINGLE
Suffix:
Gender:F
Credentials:PHD, PT
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Other - First Name:
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Mailing Address - Street 1:145 S HALLYON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420
Mailing Address - Country:US
Mailing Address - Phone:805-489-8447
Mailing Address - Fax:805-489-8448
Practice Address - Street 1:145 S HALCYON RD
Practice Address - Street 2:SUITE C
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3151
Practice Address - Country:US
Practice Address - Phone:805-489-8447
Practice Address - Fax:805-489-8448
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA9779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist