Provider Demographics
NPI:1578734463
Name:NOLAN, CATHERINE (PT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5424 BIRCHBEND LOOP
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6179
Mailing Address - Country:US
Mailing Address - Phone:407-657-9891
Mailing Address - Fax:
Practice Address - Street 1:5424 BIRCHBEND LOOP
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6179
Practice Address - Country:US
Practice Address - Phone:407-657-9891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00005585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist