Healthcare Provider Details

I. General information

NPI: 1356178305
Provider Name (Legal Business Name): KATRINA KAREN ORTHMANN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5722 KALANIANAOLE HWY
HONOLULU HI
96821-2388
US

IV. Provider business mailing address

3623 MCCORRISTON ST # 1-A
HONOLULU HI
96815-4349
US

V. Phone/Fax

Practice location:
  • Phone: 808-373-3555
  • Fax:
Mailing address:
  • Phone: 952-657-8373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-5998
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: