Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2305203994 | VA |
NPI | 1083634554 |
---|---|
Provider Name | Mrs. Tara Lynn Cattaneo |
First Address | Richmond, VA 23225-5556 |
Second Address | Richmond, VA 23225-5556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 19/11/2007 |