Provider Demographics
NPI:1851322671
Name:LATOOF, CATHLEEN A (PT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:A
Last Name:LATOOF
Suffix:
Gender:M
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11350 EXECUTIVE PLAZA IV RD STE LL12
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8997
Mailing Address - Country:US
Mailing Address - Phone:443-213-0395
Mailing Address - Fax:443-973-6125
Practice Address - Street 1:11350 MCCORMICK RD
Practice Address - Street 2:EP IV, LL8
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1002
Practice Address - Country:US
Practice Address - Phone:410-527-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist