Provider Demographics
NPI:1740801356
Name:MAGAT, CATHERINE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MAGAT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6174 WILD DUNE CT
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-8396
Mailing Address - Country:US
Mailing Address - Phone:707-319-8665
Mailing Address - Fax:
Practice Address - Street 1:6174 WILD DUNE CT
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-8396
Practice Address - Country:US
Practice Address - Phone:707-319-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist