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Individual

CATHERINE LEA GOHRBAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, PCS

Contact information

Practice address
290 ALUMNI DR STE 104, LEXINGTON, KY 40503
(859) 218-1684
(859) 257-0284
Mailing address
290 ALUMNI DR STE 104, LEXINGTON, KY 40503-1601
(859) 218-1648
(859) 257-0284

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PT3549
OH
225100000X
Physical Therapist
Primary
006636
KY
225100000X
Physical Therapist
PT003549
OH
2251P0200X
Pediatric Physical Therapist
06636
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
616001218
TAX ID
Enumeration date
11/10/2005
Last updated
12/16/2020
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