Provider Demographics
NPI:1295022010
Name:RAGON, KATHRYN JOAN (PTA)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:JOAN
Last Name:RAGON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-3212
Mailing Address - Country:US
Mailing Address - Phone:814-676-8686
Mailing Address - Fax:
Practice Address - Street 1:10 VO TECH DR
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-3502
Practice Address - Country:US
Practice Address - Phone:814-676-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE100831225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant