Provider Demographics
NPI:1609121573
Name:CATANIA, QUYEN NGUYEN (PT)
Entity Type:Individual
Prefix:DR
First Name:QUYEN
Middle Name:NGUYEN
Last Name:CATANIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:QUYEN
Other - Middle Name:THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1436 HENRY STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230
Mailing Address - Country:US
Mailing Address - Phone:219-510-3978
Mailing Address - Fax:
Practice Address - Street 1:801 NORTH BROADWAY, ROOM 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205
Practice Address - Country:US
Practice Address - Phone:443-923-9468
Practice Address - Fax:443-923-1875
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24067225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist