Provider Demographics
NPI:1124341656
Name:ROOK, KATHERINE NORA (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:NORA
Last Name:ROOK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DOWNEY DR
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1032
Mailing Address - Country:US
Mailing Address - Phone:215-840-2552
Mailing Address - Fax:
Practice Address - Street 1:650 W HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3718
Practice Address - Country:US
Practice Address - Phone:360-582-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60134090225100000X
PA019611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist