Provider Demographics
NPI:1063296788
Name:LOZANO, KAITLYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:LOZANO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 ANN MARIE LN
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-4990
Mailing Address - Country:US
Mailing Address - Phone:315-723-9349
Mailing Address - Fax:
Practice Address - Street 1:2105 ANN MARIE LN
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-4990
Practice Address - Country:US
Practice Address - Phone:315-723-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist