Provider Demographics
NPI:1770761892
Name:KATTERMANN, JO ELLEN C (PT)
Entity type:Individual
Prefix:MRS
First Name:JO ELLEN
Middle Name:C
Last Name:KATTERMANN
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 1:359 ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-3105
Mailing Address - Country:US
Mailing Address - Phone:973-875-1974
Mailing Address - Fax:973-875-1984
Practice Address - Street 1:359 ROUTE 23
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3105
Practice Address - Country:US
Practice Address - Phone:973-875-1974
Practice Address - Fax:973-875-1984
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00308300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist