Provider Demographics
NPI:1588014195
Name:CATANZARITI, MEGHAN LEANNE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LEANNE
Last Name:CATANZARITI
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 CORAL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1511
Mailing Address - Country:US
Mailing Address - Phone:774-218-5808
Mailing Address - Fax:
Practice Address - Street 1:2700 CHESTNUT STREET
Practice Address - Street 2:CHESTNUT RIDGE C/O YOUNG REHAB
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-447-0710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014429310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility