Katherine Antaran Ocomen, PT
Individual provider Active NPI Physical Therapist · Harbor Beach, MI
NPI 1265732135 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1265732135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501005669 (MI)
- Practice address
- 210 S 1St St
Harbor Beach, MI 48441-1236 - Phone
- (989) 479-3201
- Fax
- (989) 479-5000
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005669 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005669 | MI | Yes |
Addresses
Primary practice location
210 S 1St St
Harbor Beach, MI 48441-1236
Mailing address
210 S 1St St
Harbor Beach, MI 48441-1236
Phone (989) 479-3201
Other providers in Harbor Beach, MI
- Medical Enterprises, Inc.
- Medical Enterprises, Inc.
- Claire Ann Melnik
- James N Molitor
- Robert Willis Oakes
- Brent Osentoski
- Keri Lynn Pangborn
- Laura Parks
- Portable Podiatry PLLC
- Elen Abegail Ragudos
All providers in Harbor Beach, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.