Provider Demographics
NPI:1558580456
Name:ONDRUSEK, CATHERINE LOUISE (PT, SCS, CSCS)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LOUISE
Last Name:ONDRUSEK
Suffix:
Gender:F
Credentials:PT, SCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16103 LEXINGTON BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2385
Mailing Address - Country:US
Mailing Address - Phone:281-980-3630
Mailing Address - Fax:281-980-3632
Practice Address - Street 1:16103 LEXINGTON BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2385
Practice Address - Country:US
Practice Address - Phone:281-980-3630
Practice Address - Fax:281-980-3632
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2008-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10841192251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX659798OtherBLUE CROSS BLUE SHIELD