Provider Demographics
NPI:1235535824
Name:MONTOJO, CATHERINE THERESE (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE THERESE
Middle Name:
Last Name:MONTOJO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 SCENIC HIGHWAY
Mailing Address - Street 2:APT. J107
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503
Mailing Address - Country:US
Mailing Address - Phone:954-675-9810
Mailing Address - Fax:
Practice Address - Street 1:2101 SCENIC HWY
Practice Address - Street 2:APT. J107
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-6608
Practice Address - Country:US
Practice Address - Phone:954-675-9810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT269422251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM532138818820OtherDRIVER'S LICENSE