Provider Demographics
NPI:1467922542
Name:THOMAS, CATHERINE FLORENCE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:FLORENCE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CHELSEA AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08741-1409
Mailing Address - Country:US
Mailing Address - Phone:732-341-5954
Mailing Address - Fax:732-341-5955
Practice Address - Street 1:101 CHELSEA AVE
Practice Address - Street 2:
Practice Address - City:PINE BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08741-1409
Practice Address - Country:US
Practice Address - Phone:732-341-5954
Practice Address - Fax:732-341-5955
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00597300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist