Provider Demographics
NPI:1275811366
Name:CATALANO, KASSANDRA JEAN (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:KASSANDRA
Middle Name:JEAN
Last Name:CATALANO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:KASSANDRA
Other - Middle Name:JEAN
Other - Last Name:CATALANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:230 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2439
Mailing Address - Country:US
Mailing Address - Phone:914-424-5030
Mailing Address - Fax:
Practice Address - Street 1:230 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2439
Practice Address - Country:US
Practice Address - Phone:914-424-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-24
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist