Provider Demographics
NPI:1508437153
Name:FALCONER, KATHERINE JUNE (DPT)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JUNE
Last Name:FALCONER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:JUNE
Other - Last Name:LUDINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2576 CORTE FACIL
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5866
Mailing Address - Country:US
Mailing Address - Phone:925-413-5755
Mailing Address - Fax:
Practice Address - Street 1:3270 ARENA BLVD STE 415
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3001
Practice Address - Country:US
Practice Address - Phone:916-928-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR64112225100000X
CA301411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist