Provider Demographics
NPI:1275653545
Name:SALEMI, CATHERINE RUTH (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:RUTH
Last Name:SALEMI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:RUTH
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:435 HARTFORD TPKE
Mailing Address - Street 2:SUITE U
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4852
Mailing Address - Country:US
Mailing Address - Phone:860-979-1611
Mailing Address - Fax:203-866-3014
Practice Address - Street 1:435 HARTFORD TPKE
Practice Address - Street 2:SUITE U
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-4852
Practice Address - Country:US
Practice Address - Phone:860-870-8272
Practice Address - Fax:860-875-0804
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006644225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT006644OtherCT PT LICENSE