Provider Demographics
NPI:1689813289
Name:CATLIN, DEBRA KANE
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:KANE
Last Name:CATLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17109 NE 98TH CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3224
Mailing Address - Country:US
Mailing Address - Phone:206-992-3343
Mailing Address - Fax:
Practice Address - Street 1:17109 NE 98TH CT
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3224
Practice Address - Country:US
Practice Address - Phone:206-992-3343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist