Provider Demographics
NPI:1508284282
Name:BROWN, KATHARINE (PT)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:REAGAN
Other - Last Name:MCMILLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:41227 COVEY RUN
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2047
Mailing Address - Country:US
Mailing Address - Phone:985-507-1868
Mailing Address - Fax:
Practice Address - Street 1:41227 COVEY RUN
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-2047
Practice Address - Country:US
Practice Address - Phone:985-507-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist