Individual
KATHERINE ELLICE KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD STE 101B, HALLANDALE BEACH, FL 33009-3722
(786) 846-8896
Mailing address
3323 W PARK RD, HOLLYWOOD, FL 33021-4336
(561) 232-0328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33234
FL
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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