Provider Demographics
NPI:1568501880
Name:TOSONE, KATHRYN HASKEW (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:HASKEW
Last Name:TOSONE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 SW 191ST TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5448
Mailing Address - Country:US
Mailing Address - Phone:954-450-4763
Mailing Address - Fax:
Practice Address - Street 1:1100 NW 71ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-3894
Practice Address - Country:US
Practice Address - Phone:305-836-0991
Practice Address - Fax:305-691-4955
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL6852255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer