Provider Demographics
NPI:1730567546
Name:BRANAGAN, CATHERINE LEE (PT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LEE
Last Name:BRANAGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:BRANAGAN
Other - Last Name:SVOBODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1360 SNOWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2450
Mailing Address - Country:US
Mailing Address - Phone:847-347-3435
Mailing Address - Fax:
Practice Address - Street 1:1158 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4072
Practice Address - Country:US
Practice Address - Phone:847-347-3435
Practice Address - Fax:847-301-7304
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-004229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist