Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC003860L | PA |
NPI | 1356343362 |
---|---|
Provider Name | Dr. Catherine E. Canty |
First Address | Philadelphia, PA 19111 |
Second Address | Philadelphia, PA 19111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 31/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016210350003 | (05) | PA |
24387 | (02) | PA |