1740545268 NPI number — KATHERINE PATRICIA WILHOUR MS OTR/L

Table of content: KATHERINE PATRICIA WILHOUR MS OTR/L (NPI 1740545268)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740545268 NPI number — KATHERINE PATRICIA WILHOUR MS OTR/L

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
WILHOUR

Provider First Name:
KATHERINE

Provider Middle Name:
PATRICIA

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:
MS OTR/L

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
TRAUTZ

Provider Other First Name:
KATHERINE

Provider Other Middle Name:
PATRICIA

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:
MS OTR/L

Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740545268

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
09/09/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
508 OLD ORCHARD CIR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
MILLERSVILLE

Provider Business Mailing Address State Name:
MD

Provider Business Mailing Address Postal Code:
21108-1007

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
908-752-0730

Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 N HUDSON ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:
LOWELL

Provider Business Practice Location Address State Name:
MI

Provider Business Practice Location Address Postal Code:
49331-1346

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
908-752-0730

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:
07/10/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

Provider Taxonomy Codes

Taxonomy code: 225XP0019X , with the licence number: 06516 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .