Provider Demographics
NPI:1164669735
Name:HONG, CATHERINE MARIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARIE
Last Name:HONG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:WIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:585 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802
Mailing Address - Country:US
Mailing Address - Phone:562-951-0741
Mailing Address - Fax:562-684-0222
Practice Address - Street 1:585 PINE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802
Practice Address - Country:US
Practice Address - Phone:562-951-0741
Practice Address - Fax:562-684-0222
Is Sole Proprietor?:No
Enumeration Date:2009-01-19
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352842251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics