Provider Demographics
NPI:1265694293
Name:BROWDER, KATHERINE ELSPETH (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELSPETH
Last Name:BROWDER
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:PO BOX 5248
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32627-5248
Mailing Address - Country:US
Mailing Address - Phone:843-259-1368
Mailing Address - Fax:
Practice Address - Street 1:1013 NE 9TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4447
Practice Address - Country:US
Practice Address - Phone:843-259-1368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24085225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY128QOtherBCBS FL
FLAL399ZMedicare PIN