Provider Demographics
NPI:1932315892
Name:CATON, TERRI MAE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:MAE
Last Name:CATON
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:RR 2 BOX 140
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-7005
Mailing Address - Country:US
Mailing Address - Phone:405-258-0000
Mailing Address - Fax:
Practice Address - Street 1:320 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079-3641
Practice Address - Country:US
Practice Address - Phone:918-968-2656
Practice Address - Fax:918-968-2659
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3667225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist