Provider Demographics
NPI:1811179229
Name:D'AGOSTINO, CATHERINE M (MS PT)
Entity type:Individual
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First Name:CATHERINE
Middle Name:M
Last Name:D'AGOSTINO
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Gender:F
Credentials:MS PT
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Mailing Address - Street 1:178 HARTFORD ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040
Mailing Address - Country:US
Mailing Address - Phone:860-646-1561
Mailing Address - Fax:860-643-1596
Practice Address - Street 1:178 HARTFORD ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040
Practice Address - Country:US
Practice Address - Phone:860-646-1561
Practice Address - Fax:860-643-1596
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2008-07-15
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Provider Licenses
StateLicense IDTaxonomies
CT007760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist