Provider Demographics
NPI:1417084732
Name:STEINHOFER, KATHERINE HAINES (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:HAINES
Last Name:STEINHOFER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:LEE
Other - Last Name:HAINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1509 ATKINSON RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-7986
Mailing Address - Country:US
Mailing Address - Phone:770-995-2379
Mailing Address - Fax:
Practice Address - Street 1:1509 ATKINSON RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7986
Practice Address - Country:US
Practice Address - Phone:770-995-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002997225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics