Provider Demographics
NPI:1639508237
Name:IU-PETERS, CATHERINE PAULINE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:PAULINE
Last Name:IU-PETERS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:PAULINE
Other - Last Name:IU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:400 RED CREEK DR.
Mailing Address - Street 2:ROCHESTER BRAIN & SPINE SUITE 120
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4616
Mailing Address - Country:US
Mailing Address - Phone:585-334-5560
Mailing Address - Fax:585-334-5581
Practice Address - Street 1:400 RED CREEK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4273
Practice Address - Country:US
Practice Address - Phone:585-334-5560
Practice Address - Fax:585-334-5581
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022466225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist