Provider Demographics
NPI:1760496517
Name:CORTNEY, CATHERINE (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CORTNEY
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 1:8614 MISSION SAN CARLOS DR
Mailing Address - Street 2:UNIT 63
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-6359
Mailing Address - Country:US
Mailing Address - Phone:619-244-9875
Mailing Address - Fax:
Practice Address - Street 1:3445 XENOPHON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-1543
Practice Address - Country:US
Practice Address - Phone:619-701-7489
Practice Address - Fax:619-448-7148
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist