Provider Demographics
NPI:1558073437
Name:PERRY, CATHERINE ANNE (DIPLOM,AP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANNE
Last Name:PERRY
Suffix:
Gender:F
Credentials:DIPLOM,AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:ASTATULA
Mailing Address - State:FL
Mailing Address - Zip Code:34705
Mailing Address - Country:US
Mailing Address - Phone:352-978-2606
Mailing Address - Fax:
Practice Address - Street 1:23601 RANCH ROAD
Practice Address - Street 2:
Practice Address - City:ASTATULA
Practice Address - State:FL
Practice Address - Zip Code:34705
Practice Address - Country:US
Practice Address - Phone:352-978-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4093171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist