Provider Demographics
NPI:1942281449
Name:GOHRBAND, CATHERINE LEA (PT, DPT, PCS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LEA
Last Name:GOHRBAND
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ALUMNI DR STE 104
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1601
Mailing Address - Country:US
Mailing Address - Phone:859-218-1648
Mailing Address - Fax:859-257-0284
Practice Address - Street 1:290 ALUMNI DR STE 104
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-218-1684
Practice Address - Fax:859-257-0284
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT3549174400000X
OHPT003549225100000X
KY066362251P0200X
KY006636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
616001218OtherTAX ID