Provider Demographics
NPI:1225248131
Name:SANTIAGO, CATHERINE MESINA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:MESINA
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:1 BRONXVILLE RD
Mailing Address - Street 2:APT. 6-J
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6156
Mailing Address - Country:US
Mailing Address - Phone:914-623-2150
Mailing Address - Fax:
Practice Address - Street 1:600 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2604
Practice Address - Country:US
Practice Address - Phone:718-920-9171
Practice Address - Fax:718-920-9212
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0265641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist