Provider Demographics
NPI:1710087440
Name:SCARBOROUGH, CATHERINE OWENS (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:OWENS
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1690 S SHELTER TRL
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-5652
Mailing Address - Country:US
Mailing Address - Phone:321-961-1265
Mailing Address - Fax:321-453-8271
Practice Address - Street 1:1690 S SHELTER TRL
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5652
Practice Address - Country:US
Practice Address - Phone:321-961-1265
Practice Address - Fax:321-453-8271
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 19864225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist