Provider Demographics
NPI:1952752925
Name:HAAS, KATHRYN L (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:L
Last Name:HAAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:567 JERICHO TPKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4505
Mailing Address - Country:US
Mailing Address - Phone:516-364-6720
Mailing Address - Fax:516-364-6722
Practice Address - Street 1:567 JERICHO TPKE
Practice Address - Street 2:SUITE 202
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4505
Practice Address - Country:US
Practice Address - Phone:516-364-6720
Practice Address - Fax:516-364-6722
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist