Provider Demographics
NPI:1568425833
Name:RATHBONE, CATHERINE JEANNE (OTR)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEANNE
Last Name:RATHBONE
Suffix:
Gender:F
Credentials:OTR
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 369
Mailing Address - Street 2:16644 MOUNTAIN RD
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192
Mailing Address - Country:US
Mailing Address - Phone:804-883-3005
Mailing Address - Fax:804-883-3006
Practice Address - Street 1:16644 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192
Practice Address - Country:US
Practice Address - Phone:804-883-3005
Practice Address - Fax:804-883-3006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002235225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
480449OtherOPTIMUM CHOICE
6400902OtherUNITED HEALTHCARE
102451OtherANTHEM
102451OtherANTHEM