Provider Demographics
NPI:1578867453
Name:FRANCIS, KATRINA LENORE (DPT)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:LENORE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BEACON ST STE 209
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3202
Mailing Address - Country:US
Mailing Address - Phone:857-990-6111
Mailing Address - Fax:833-615-1065
Practice Address - Street 1:1330 BEACON ST STE 209
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3202
Practice Address - Country:US
Practice Address - Phone:857-990-6111
Practice Address - Fax:833-615-1065
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT38610225100000X
CT10521225100000X
MI5501302038225100000X
MA18934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist