Provider Demographics
NPI:1871184176
Name:NASH, KATHERINE B (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:B
Last Name:NASH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3576 WILDWOOD FOREST CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-4109
Mailing Address - Country:US
Mailing Address - Phone:603-918-3096
Mailing Address - Fax:
Practice Address - Street 1:3576 WILDWOOD FOREST CT
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-4109
Practice Address - Country:US
Practice Address - Phone:603-918-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3365225X00000X
FL21545225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist