Provider Demographics
NPI:1508121146
Name:CATALANO, DANIEL KAYDEN DEEN (LPTA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:KAYDEN DEEN
Last Name:CATALANO
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 LEE HWY APT 808
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3155
Mailing Address - Country:US
Mailing Address - Phone:703-945-7433
Mailing Address - Fax:
Practice Address - Street 1:4201 LEE HWY APT 808
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3155
Practice Address - Country:US
Practice Address - Phone:703-945-7433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA655225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant