Provider Demographics
NPI:1578972147
Name:CARIDI, KATHRYN HELEN (DPT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HELEN
Last Name:CARIDI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 JACOB STOUT RD UNIT 10
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-9096
Mailing Address - Country:US
Mailing Address - Phone:267-614-3533
Mailing Address - Fax:
Practice Address - Street 1:1034 SECOND STREET PIKE
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1863
Practice Address - Country:US
Practice Address - Phone:215-364-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist