Provider Demographics
NPI:1972880672
Name:CATRON, GILBERT O (ATC/L)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:O
Last Name:CATRON
Suffix:
Gender:M
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 UNITY RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24739-8574
Mailing Address - Country:US
Mailing Address - Phone:304-952-7098
Mailing Address - Fax:304-384-7267
Practice Address - Street 1:708 UNITY RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24739-8574
Practice Address - Country:US
Practice Address - Phone:304-952-7098
Practice Address - Fax:304-384-7267
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0126000038171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor