Provider Demographics
NPI:1134354582
Name:GLEASON, KATHERINE COTE (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:COTE
Last Name:GLEASON
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:576 BROADHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5002
Mailing Address - Country:US
Mailing Address - Phone:631-359-5859
Mailing Address - Fax:631-396-0864
Practice Address - Street 1:138 RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-289-6108
Practice Address - Fax:978-289-6109
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2019-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA17974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist