Provider Demographics
NPI:1356798581
Name:STEVENSON, CATHARINE
Entity type:Individual
Prefix:
First Name:CATHARINE
Middle Name:
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 COLD STREAM CIR
Mailing Address - Street 2:APT K
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4241
Mailing Address - Country:US
Mailing Address - Phone:802-855-3786
Mailing Address - Fax:
Practice Address - Street 1:1040 COLD STREAM CIR
Practice Address - Street 2:APT K
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-4241
Practice Address - Country:US
Practice Address - Phone:802-855-3786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0244448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist