Provider Demographics
NPI:1689924862
Name:FRATTINI, CATHERINE THERESE
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:THERESE
Last Name:FRATTINI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:THERESE
Other - Last Name:FRATTINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1522 ALINE DR
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1002
Mailing Address - Country:US
Mailing Address - Phone:313-881-2529
Mailing Address - Fax:586-775-7246
Practice Address - Street 1:22701 GREATER MACK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2007
Practice Address - Country:US
Practice Address - Phone:586-777-6056
Practice Address - Fax:586-775-7246
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor