Provider Demographics
NPI:1104591312
Name:QUATTRONE, KATHRYN SOFIA (PTA)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:SOFIA
Last Name:QUATTRONE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 RUE LOUIS XIV BLDG 6
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5786
Mailing Address - Country:US
Mailing Address - Phone:337-456-6148
Mailing Address - Fax:337-456-6239
Practice Address - Street 1:121 RUE LOUIS XIV BLDG 6
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5786
Practice Address - Country:US
Practice Address - Phone:337-456-6148
Practice Address - Fax:337-456-6239
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAA10997225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant