Provider Demographics
NPI:1457744039
Name:MCWILLIAMS, KATHARINE (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MANCHESTER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2586
Mailing Address - Country:US
Mailing Address - Phone:845-454-4621
Mailing Address - Fax:
Practice Address - Street 1:301 MANCHESTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2586
Practice Address - Country:US
Practice Address - Phone:845-454-4621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038727225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist