Provider Demographics
NPI:1689074304
Name:MILLER, CATHERINE E (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:MARSHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1377 MOTOR PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5258
Mailing Address - Country:US
Mailing Address - Phone:631-580-5200
Mailing Address - Fax:631-580-5222
Practice Address - Street 1:1622 TIMBERWOOD BLVD STE 211
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-7573
Practice Address - Country:US
Practice Address - Phone:434-202-2830
Practice Address - Fax:434-529-8457
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15032225100000X
VA2305213388225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist