Provider Demographics
NPI:1649399270
Name:MCCLUSKY, CATHERINE F (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:F
Last Name:MCCLUSKY
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 1:129 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5305
Mailing Address - Country:US
Mailing Address - Phone:401-726-7100
Mailing Address - Fax:401-722-9386
Practice Address - Street 1:129 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5305
Practice Address - Country:US
Practice Address - Phone:401-726-7100
Practice Address - Fax:401-722-9386
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI01764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist