Healthcare Provider Details

I. General information

NPI: 1194936252
Provider Name (Legal Business Name): KATHLEEN QUON M.S., D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLEEN LOWES

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 FOOTHILL BLVD
LA CANADA FLINTRIDGE CA
91011-3503
US

IV. Provider business mailing address

440 FOOTHILL BLVD
LA CANADA CA
91011-3503
US

V. Phone/Fax

Practice location:
  • Phone: 818-369-7620
  • Fax:
Mailing address:
  • Phone: 818-369-7620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29729
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number29729
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: