Provider Demographics
NPI:1770982449
Name:CATAMAS, KIRSTEN (DPT)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:CATAMAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 COUNTY ROAD 220
Mailing Address - Street 2:STE 304
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-7778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2219 COUNTY ROAD 220 STE 304
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-7778
Practice Address - Country:US
Practice Address - Phone:904-644-7722
Practice Address - Fax:904-637-1532
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist