Provider Demographics
NPI:1841442621
Name:WILT, CATHY E
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:E
Last Name:WILT
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 1:3840 MERCERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-9674
Mailing Address - Country:US
Mailing Address - Phone:814-935-7222
Mailing Address - Fax:
Practice Address - Street 1:3840 MERCERSBURG RD
Practice Address - Street 2:
Practice Address - City:MERCERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17236-9674
Practice Address - Country:US
Practice Address - Phone:814-935-7222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist