Provider Demographics
NPI:1558744003
Name:BERNARD, KATHERINE COLETTE (OTR)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:COLETTE
Last Name:BERNARD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14035 NE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6900
Mailing Address - Country:US
Mailing Address - Phone:206-334-4965
Mailing Address - Fax:
Practice Address - Street 1:14035 NE 5TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6900
Practice Address - Country:US
Practice Address - Phone:206-334-4965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist