Provider Demographics
NPI:1780894402
Name:OSTRANDER, KATE DIANE (PTA)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:DIANE
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:KATE
Other - Middle Name:DIANE
Other - Last Name:FRAKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2311 N 88TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-9427
Mailing Address - Country:US
Mailing Address - Phone:402-430-5318
Mailing Address - Fax:
Practice Address - Street 1:1600 S 48TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1275
Practice Address - Country:US
Practice Address - Phone:402-489-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE727225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant