Basic Information
Provider Information
NPI: 1194080747
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIGIOIA
FirstName: CATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2812 RUSTIC MANOR CT
Address2:  
City: GLENWOOD
State: MD
PostalCode: 217389747
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3000 N RIDGE RD
Address2:  
City: ELLICOTT CITY
State: MD
PostalCode: 210433311
CountryCode: US
TelephoneNumber: 4104617577
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2012
LastUpdateDate: 01/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
224Z00000XA01916MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 

No ID Information.


Home