Provider Demographics
NPI:1497511059
Name:GILDEN, CATHERINE HOLLAND (MPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HOLLAND
Last Name:GILDEN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:H
Other - Last Name:GILDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:984B LASKIN RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3905
Mailing Address - Country:US
Mailing Address - Phone:757-395-6900
Mailing Address - Fax:757-275-9777
Practice Address - Street 1:984B LASKIN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3905
Practice Address - Country:US
Practice Address - Phone:757-395-6900
Practice Address - Fax:757-275-9777
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist