Provider Demographics
NPI:1417971227
Name:HORGAN, CATHERINE THERESA (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:THERESA
Last Name:HORGAN
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 1:4 WIGWAM LN
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-1416
Mailing Address - Country:US
Mailing Address - Phone:781-545-2833
Mailing Address - Fax:781-545-9121
Practice Address - Street 1:4 WIGWAM LN
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1416
Practice Address - Country:US
Practice Address - Phone:781-545-2833
Practice Address - Fax:781-545-9121
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist