Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 0811 | NH |
Y | 2251N0400X | Physical Therapist - Neurology | 5168 | MA |
NPI | 1336356625 |
---|---|
Provider Name | Theresa Marie Catalano |
First Address | Pelham, NH 03076-3165 |
Second Address | Tewksbury, MA 01876-1950 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |