Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 7420 | CO |
N | 2251E1200X | Ergonomics | 7420 | CO |
N | 225XE1200X | Ergonomics | 7420 | CO |
N | 2251G0304X | Physical Therapist - Geriatrics | 7420 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 7420 | CO |
NPI | 1871922070 |
---|---|
Provider Name | Mrs. Mary Martin Catel |
First Address | Denver, CO 80210-4044 |
Second Address | Denver, CO 80210-4044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 07/11/2013 |