Provider Demographics
NPI:1235764937
Name:KOENIG, CATHERINE COLETTE (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:COLETTE
Last Name:KOENIG
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3108
Mailing Address - Country:US
Mailing Address - Phone:732-718-4843
Mailing Address - Fax:
Practice Address - Street 1:170 LIBERTY ST.
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3494
Practice Address - Country:US
Practice Address - Phone:973-748-9000
Practice Address - Fax:973-259-1085
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer