Basic Information
| Provider Information | |||||||||
| NPI: | 1568501880 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOSONE | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | HASKEW | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 347 SW 191ST TER | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330295448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544504763 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 NW 71ST ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331503894 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058360991 | ||||||||
| FaxNumber: | 3056914955 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | AL685 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.