Provider Demographics
NPI:1083206080
Name:CATOLICO, GARRY RAMOS (PT DPT)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:RAMOS
Last Name:CATOLICO
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2332 VILLANOVA CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-7507
Mailing Address - Country:US
Mailing Address - Phone:916-606-8777
Mailing Address - Fax:
Practice Address - Street 1:2579 OCEAN AVE FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4552
Practice Address - Country:US
Practice Address - Phone:646-780-0926
Practice Address - Fax:646-502-5507
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0397032251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics