Provider Demographics
NPI:1528589603
Name:TRUONG, CATHERINE (PT, DPT, LAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 MUNICIPAL DR STE 108
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3543
Mailing Address - Country:US
Mailing Address - Phone:214-575-4040
Mailing Address - Fax:214-575-4041
Practice Address - Street 1:375 MUNICIPAL DR STE 108
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3543
Practice Address - Country:US
Practice Address - Phone:214-575-4040
Practice Address - Fax:214-575-4041
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT78962255A2300X
390200000X
TX13580852251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program