Provider Demographics
NPI:1346467214
Name:CULVER, CATHERINE MARIE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:MARIE
Last Name:CULVER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 WESTCHESTER AVE
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4743
Mailing Address - Country:US
Mailing Address - Phone:410-988-5190
Mailing Address - Fax:
Practice Address - Street 1:600 PATRIOT LN
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1351
Practice Address - Country:US
Practice Address - Phone:410-969-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer