Individual
MRS. KATHLEEN OHARA HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3805 COMPUTER DR, RALEIGH, NC 27609
(919) 696-6200
(919) 783-1819
Mailing address
5121 BERKLEY ST, RALEIGH, NC 27612
(919) 787-0776
(919) 783-1819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0783E
BCBS
NC
01
—
7129735
AETNA
NC
Enumeration date
07/02/2006
Last updated
05/03/2026
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