Individual
KATHERINE IRENE SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
162 S MAIN ST, BISHOP, CA 93514-3415
(760) 872-2942
Mailing address
17 SUNNY SLOPES RD UNIT A, TOMS PLACE, CA 93546-6371
(510) 390-5355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47925
PHYSICAL THERAPY BOARD OF CA
CA
Enumeration date
05/29/2020
Last updated
02/11/2021
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