Provider Demographics
NPI:1134520273
Name:GHENA, CATHRYN (DPT)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:GHENA
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 1:4214 N ROXBORO ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1889
Mailing Address - Country:US
Mailing Address - Phone:919-479-9001
Mailing Address - Fax:919-479-9003
Practice Address - Street 1:4214 N ROXBORO ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1889
Practice Address - Country:US
Practice Address - Phone:919-479-9001
Practice Address - Fax:919-479-9003
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist