Provider Demographics
NPI:1740545268
Name:WILHOUR, KATHERINE PATRICIA (MS OTR/L)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:PATRICIA
Last Name:WILHOUR
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:PATRICIA
Other - Last Name:TRAUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:508 OLD ORCHARD CIR
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1007
Mailing Address - Country:US
Mailing Address - Phone:908-752-0730
Mailing Address - Fax:
Practice Address - Street 1:525 N HUDSON ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-1346
Practice Address - Country:US
Practice Address - Phone:908-752-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06516225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation