Provider Demographics
NPI:1336106723
Name:MUNTEANU, CATHERINE LORD (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LORD
Last Name:MUNTEANU
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 1:839 ROBERT YOUNG RD
Mailing Address - Street 2:
Mailing Address - City:STARKSBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05487-7152
Mailing Address - Country:US
Mailing Address - Phone:802-453-5224
Mailing Address - Fax:
Practice Address - Street 1:175 WILSON RD
Practice Address - Street 2:WELLS PHYSICAL THERAPY SERVICES
Practice Address - City:MIDDLEBURG
Practice Address - State:VT
Practice Address - Zip Code:05753
Practice Address - Country:US
Practice Address - Phone:802-388-3533
Practice Address - Fax:802-388-2334
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400002322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT28903OtherBCBS
VT28903OtherBCBS