Provider Demographics
NPI:1013096247
Name:CATIZONE, PETER VINCENT (PT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:VINCENT
Last Name:CATIZONE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 W BROAD ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-5827
Mailing Address - Country:US
Mailing Address - Phone:804-965-9990
Mailing Address - Fax:804-965-0997
Practice Address - Street 1:8906 W BROAD ST
Practice Address - Street 2:SUITE F
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5827
Practice Address - Country:US
Practice Address - Phone:804-965-9990
Practice Address - Fax:804-965-0997
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005399225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist