Provider Demographics
NPI:1508962051
Name:CHARPENTIER, CATHY M (PT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:M
Last Name:CHARPENTIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:M
Other - Last Name:PIERZINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5050 SEDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3712
Mailing Address - Country:US
Mailing Address - Phone:847-645-9673
Mailing Address - Fax:847-645-9676
Practice Address - Street 1:5050 SEDGE BLVD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3712
Practice Address - Country:US
Practice Address - Phone:847-645-9673
Practice Address - Fax:847-645-9676
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6348225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist