Provider Demographics
NPI:1932674637
Name:LEFFLER, CATHERINE R (PTA)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:R
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:P
Other - Last Name:REYBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CATHERINE P REYBOLD
Mailing Address - Street 1:23869 MOUNT MISERY RD
Mailing Address - Street 2:
Mailing Address - City:ST MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2521
Mailing Address - Country:US
Mailing Address - Phone:727-698-5580
Mailing Address - Fax:
Practice Address - Street 1:501 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3342
Practice Address - Country:US
Practice Address - Phone:865-392-2853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA4904225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant