Provider Demographics
NPI:1831522879
Name:CATTANO, STEPHANIE P (DPT, PT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:P
Last Name:CATTANO
Suffix:
Gender:
Credentials:DPT, PT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:M
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:1033 GUAM DR
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-4320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:735 W CHANNEL ISLANDS BLVD
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-2130
Practice Address - Country:US
Practice Address - Phone:805-250-7505
Practice Address - Fax:805-250-7171
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20106225100000X
CA40942225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist