Provider Demographics
NPI:1518196450
Name:DEATS, KATHERINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:DEATS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BROADWAY
Mailing Address - Street 2:APT 6C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9500
Mailing Address - Country:US
Mailing Address - Phone:917-846-6311
Mailing Address - Fax:
Practice Address - Street 1:718 BROADWAY
Practice Address - Street 2:APT 6C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9500
Practice Address - Country:US
Practice Address - Phone:917-846-6311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0099541225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist