MEDICARE: KATHERINE MOORE THOMAS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PT000632E	PA

General Provider Information

NPI Number	:	1659552628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MOORE THOMAS PT

Provider Business Mailing Address
First Line	:	215 MAGNOLIA PL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1323
Country	:	US
Telephone Number	:	412-341-5147
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 MAGNOLIA PL
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1323
Country	:	US
Telephone Number	:	412-341-5147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/19/2007

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Directions to “ KATHERINE MOORE THOMAS PT” Practice Location

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